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Related Experiment Videos

Krukenberg kineplasty: a case study.

Randi L Schatz1, Melvin P Rosenwasser

  • 1Department of Orthopedics, Columbia Presbyterian Medical Center, New York, New York, USA. schatzee10@aol.com

Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists
|September 11, 2002
PubMed
Summary

This case study details the surgical and therapeutic management of a young male with a left below-elbow amputation and blindness. It highlights adapted strategies for achieving functional independence in complex cases.

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Area of Science:

  • Reconstructive surgery
  • Hand therapy
  • Prosthetics

Background:

  • Functional independence is a key goal in hand therapy, often achieved with prosthetics after below-elbow amputation.
  • Rarely, patients have co-occurring conditions like blindness, complicating prosthetic use.
  • This case involves a 13-year-old male with left upper extremity amputation and vision loss.

Observation:

  • The patient suffered a below-elbow amputation and blindness from a land mine injury.
  • This dual injury presents unique challenges for prosthetic fitting and rehabilitation.
  • Few clinical opportunities exist to treat such complex cases.

Findings:

  • The study reports surgical methods, assessment techniques, and therapy guidelines.
  • Focus is on adapting treatment for a patient unable to use a traditional prosthetic device.

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  • The case demonstrates a multidisciplinary approach to restoring function.

    • Implications:

    • Findings offer insights into managing patients with combined amputation and visual impairment.
    • Provides a framework for hand therapists and surgeons treating similar complex cases.
    • Aims to improve functional outcomes and independence in visually impaired amputees.