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Hand reanimation.

Hywel Dafydd1, Chih-Hung Lin

  • 1Chang Gung Memorial Hospital, 5 Fu-Hsing Street, Gueishan, Taoyuan County, 333, Taiwan.

Current Reviews in Musculoskeletal Medicine
|March 25, 2014
PubMed
Summary
This summary is machine-generated.

Reconstructing a functional hand after severe injury involves nerve repair, nerve grafts, or muscle transfers. Achieving hand reanimation requires understanding nerve injury and meticulous surgical techniques for optimal patient recovery.

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Area of Science:

  • Orthopedics
  • Neurosurgery
  • Microsurgery

Background:

  • Severe upper extremity injuries like brachial plexus disruption and traumatic amputations pose significant reconstructive challenges.
  • Advances in nerve injury understanding and microsurgical techniques have expanded therapeutic options for hand reanimation over four decades.

Purpose of the Study:

  • To outline the principles and surgical modalities for restoring function to a sensate hand following devastating injuries.
  • To emphasize the importance of understanding pathophysiology and pre-operative joint mobility for successful hand reanimation.

Main Methods:

  • Review of established and advanced techniques in reconstructive surgery for the upper extremity.
  • Discussion of nerve repair, nerve grafting, nerve transfer, tendon transfer, and free functioning muscle transfer.
  • Highlighting the critical role of pre-operative hand therapy and post-operative rehabilitation.

Main Results:

  • Multiple surgical options exist for hand reanimation, tailored to specific injury patterns and patient needs.
  • Successful hand reanimation depends on a comprehensive approach combining surgical intervention with dedicated therapy.
  • Ensuring full passive range of motion in target joints is a prerequisite for all reanimation procedures.

Conclusions:

  • Hand reanimation aims to restore strength, stability, and mobility to injured hands, significantly improving patient quality of life.
  • A thorough understanding of nerve injury, regeneration, and microsurgical principles guides the selection of appropriate reconstructive techniques.
  • Integrated pre- and post-operative hand therapy is crucial for maximizing functional outcomes after surgical reconstruction.