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Hand therapy management following mutilating hand injuries
1Department of Physical Medicine and Rehabilitation, California Pacific Medical Center, Davies Campus, PO Box 799, San Francisco, CA 94120, USA. chans@sutterhealth.org
Hand Clinics
|April 10, 2003
Summary
This article details hand therapy techniques to improve function after surgery and severe injuries. It covers healing processes and treatment guidelines for complex cases like flaps and replantation.
Area of Science:
- Orthopedics
- Hand Surgery
- Rehabilitation Medicine
Background:
- Optimizing functional outcomes after hand surgery is crucial.
- Mutilating hand injuries necessitate comprehensive rehabilitation due to multi-system involvement.
Purpose of the Study:
- To discuss the healing processes and therapeutic techniques for various systems involved in hand injuries.
- To provide treatment guidelines for specific complex reconstructive procedures.
Main Methods:
- Review of healing processes for different tissue systems in the hand.
- Discussion of therapeutic techniques applicable to hand rehabilitation.
- Inclusion of treatment guidelines for reconstructive surgeries.
Main Results:
- Hand therapy significantly enhances functional recovery post-surgery.
- Specialized techniques are vital for managing complex injuries.
- Guidelines for flaps, replantation, and toe-to-digit transfers are presented.
Conclusions:
- A multidisciplinary approach to hand therapy optimizes outcomes.
- Adherence to specific treatment guidelines improves results for complex reconstructions.
- Effective rehabilitation is key to restoring hand function after trauma and surgery.