FUNCTIONAL OUTCOME FOLLOWING TRAUMATIC UPPER-LIMB AMPUTATION AND PROSTHETIC LIMB FITTING

被引:46
作者
PINZUR, MS
ANGELATS, J
LIGHT, TR
IZUIERDO, R
PLUTH, T
机构
[1] Department of Orthopaedic Surgery, the Division of Plastic Surgery, Loyola University Medical Center, Maywood
来源
JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1994年 / 19A卷 / 05期
关键词
D O I
10.1016/0363-5023(94)90197-X
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Nineteen consecutive patients underwent traumatic upper limb amputation for nonreconstructible or replantible upper limb injury at a Level I trauma center over a 9-year-period. Eleven amputations were at the transradial level, five were transhumeral, and three were shoulder disarticulation. Eighteen patients underwent prosthetic limb fitting. Fifteen of the 18 initially underwent preparatory prosthetic limb fitting within 30 days following amputation with a body-powered, cable-driven prosthesis. Seventeen of the 18 achieved sufficient proficiency with their prostheses to allow them to return to work. Of these, 15 maintained daily functional prosthetic use of at least 8 hours daily at a followup examination of 12 to 110 months. Use of prosthetic limb following traumatic upper limb amputation carries a high probability for functional rehabilitation if limb fitting and prosthetic training are instituted as soon as the residual limb can tolerate the prosthetic socket as opposed to waiting for the residual limb to ''mature''.
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页码:836 / 839
页数:4
相关论文
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