We’re Part of Your Seamless ARMS Care Plan

Surgery is only the first part of your journey with ARMS. Our multidisciplinary approach means our upper limb amputation specialists are there for your entire journey—delivering comprehensive, team-based support and ensuring you have access to every resource you need.

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Prosthetic Training & Optimization

We work closely with Hanger Clinic to help patients adapt to and confidently use their hand and arm prosthetic devices.

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Rehabilitation & Functional Recovery

Our surgeons collaborate with Atlantic Hand Therapy Center to ensure your therapy plan maximizes strength and mobility.

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Mental & Behavioral Health Support

Adjusting to limb loss or surgery is complex, and our specialists coordinate care through Hackensack Meridian Health to provide emotional and psychological support.

Surgical Expertise That Restores Strength & Function

Our board-certified surgeons and hand reconstruction specialists provide:

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Limb Salvage & Reconstruction
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Nerve & Tendon Repair
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Targeted Muscle Reinnervation (TMR)
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Regenerative Peripheral Nerve Interface (RPNI)
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Fracture & Joint Surgery
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Arthritis & Tendonitis Procedures

Supporting Team Members

Julie Lefever, Lead Nurse

Julie Lefever is a licensed professional nurse who graduated in 2012 with academic honors from Western Suffolk BOCES. She began her nursing career at Suffolk Rehabilitation Center, where she excelled in basic nursing and wound care nursing for 6 years. She then moved to New Jersey and started her career at The Plastic Surgery Center. She is currently the lead nurse for The Center for Hand Upper Extremity Surgery and The ARMS clinic. She is a direct point of contact for patients and is in near-constant communication with both the patients and the rest of the clinical team to optimize and expedite care. She is very excited to be a dedicated member of the ARMS practice. 

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Explore Hand Amputation Surgery and Recovery

Your hands are essential to how you live, work, and connect with the world. Whether you're facing surgery, recovering from an injury, or exploring advanced reconstructive options, our upper limb amputation specialists are here to restore strength, function, and confidence every step of the way.
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