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3D Planning and Printing of Patient Specific Implants for Reconstruction of Bony Defects
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[Replantation or prosthesis: individual planning].

H P Jonas1

  • 1AUVA-Rehabilitationszentrum Bad Häring, Schönau 150, Bad Häring, Austria. rha@auva.at

Handchirurgie, Mikrochirurgie, Plastische Chirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Handchirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Mikrochirurgie Der Peripheren Nerven Und Gefasse : Organ Der V
|March 7, 2008
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Summary

Rehabilitation after upper limb replantation requires immediate, integrated physical and occupational therapy. Training the non-injured limb and addressing psychosocial impacts are crucial for successful recovery and prosthetic use.

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Area of Science:

  • Orthopedic Surgery
  • Rehabilitation Medicine
  • Prosthetics

Background:

  • Upper limb replantation is a complex procedure with significant challenges.
  • Early and comprehensive rehabilitation is essential for functional recovery.

Observation:

  • Replantation necessitates close collaboration between physical and occupational therapists.
  • The contralateral (opposite) upper limb requires dedicated training.
  • Psychosocial well-being and social integration are critical aspects of recovery.

Findings:

  • Replantation can lead to multiple reoperations and prolonged morbidity.
  • Prosthetic compensation is vital following irreversible amputation.
  • A significant gap exists between available prosthetic technology and financial accessibility.
  • Shoulder caps are crucial for preventing spinal deformities in higher amputations when prosthetics are not feasible.

Implications:

  • Integrated therapy approaches optimize outcomes for replanted upper limbs.
  • Addressing psychosocial factors improves patient quality of life.
  • Bridging the technology-cost gap in prosthetics is needed.
  • Proactive measures like shoulder caps prevent secondary complications.