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Upper limb amputations and prostheses.

R W Beasley, G M de Bese

The Orthopedic Clinics of North America

|July 1, 1986

Summary

This summary is machine-generated.

Hand amputation management requires careful surgical planning and consideration of prosthetic options. Restoring both function and a socially acceptable appearance is crucial for patient well-being.

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Area of Science:

Hand surgery
Reconstructive procedures
Prosthetic fitting

Background:

Hand amputations present unique surgical challenges.
Patient needs vary significantly, even with similar physical losses.
Bilateral hand amputees require different management than unilateral cases.

Purpose of the Study:

To emphasize the importance of a comprehensive master plan in hand amputation management.
To highlight the dual goals of functional restoration and aesthetic improvement.
To discuss the role and limitations of current prosthetic technologies.

Main Methods:

Review of surgical principles in hand reconstruction.
Analysis of patient-specific needs in amputation cases.
Evaluation of active and passive prosthetic device functionalities.

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Main Results:

Restoration of a vise mechanism and socially acceptable appearance are key goals.
Motorized prostheses for unilateral amputees have limited utility due to lack of sensory feedback.
Prosthetic devices are increasingly vital in treating amputees.

Conclusions:

Surgical management must integrate prosthetic potential and consider socioeconomic factors.
Future prosthetic needs will likely involve mechanically simple, aesthetically pleasing devices.
Surgeons must be knowledgeable about advancements in hand prostheses.