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Related Experiment Video

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A BIONIC HAND VS. A REPLANTED HAND.

Ulrika Wijk1, Anders Björkman2, Ingela K Carlsson1

  • 1Department of Translational Medicine - Hand Surgery, Lund University, Skåne University Hospital, Malmö, Sweden.

Journal of Rehabilitation Medicine. Clinical Communications
|January 26, 2024
PubMed
Summary
This summary is machine-generated.

For individuals with poor hand function after replantation, a planned amputation and prosthetic fitting can significantly improve quality of life. This approach enhanced activity, participation, and reduced pain and cold intolerance.

Keywords:
arm amputationbionic limbhand prosthesishand rehabilitationhand replantation

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Area of Science:

  • Reconstructive surgery
  • Prosthetics
  • Rehabilitation

Background:

  • Hand replantation may result in unsatisfactory functional outcomes.
  • Persistent functional deficits can negatively impact quality of life.

Purpose of the Study:

  • To evaluate the functional outcomes of a planned amputation and prosthetic hand fitting in a patient with compromised hand function post-replantation.
  • To assess the impact on body functions, activity performance, and participation.

Main Methods:

  • A case report detailing quantitative and qualitative evaluations before and after amputation and prosthetic fitting.
  • Utilized patient-reported outcome measures (PROMs) including DASH, COPM, NPSI, BPI, VAS, CISS, and SF-36.
  • Included standardized grip function testing (SHAP) and qualitative interviews.

Main Results:

  • Significant improvements were observed in PROMs for activity, pain, cold intolerance, and quality of life.
  • Enhanced grip function was noted in the standardized SHAP test.
  • Qualitative interviews revealed reduced pain, improved appearance, better grip, and enhanced emotional well-being.

Conclusions:

  • A planned amputation followed by prosthetic fitting can be a successful solution for individuals with unsatisfactory hand function post-replantation.
  • This intervention positively impacted the patient's activity, participation, and overall satisfaction.