Here's the deal for our situation....my husband has a condition called Sarcoidosis. He has nodules in his lungs, liver, spleen, parotid glands, eyelids, and his joints. His joints are the worst. He recently had major work on his right - predominant - hand. They replaced the middle joint on his index finger, fused the end joint, and scraped the knuckle where it joins his hand. In the joint between his wrist and the first knuckle on his thumb they went in, scraped the joint, then took a bit of tendon from his arm, coiled it, and placed it in the space to act as a cushion.
This is why his one attempt to cull a chicken using a knife ended up being horrific for him and for the bird. He simply doesn't have the strength and mobility in his hands to do that cleanly and quickly. So after that one time, he has gone back to what works for our circumstances. I won't apologize for it, nor will I feel stupid, bloodthirsty, or be painted as folks who love the target practice using chickens as targets. If we had anyone in our area who processed chickens, we'd gladly pay to have it done.