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[Hand reconstruction and prosthesis]
Vestnik Khirurgii Imeni I. I. Grekova
|January 1, 1996
Summary
Most patients with severe hand defects after amputation chose reconstructive surgery, including microsurgical toe transplants. Some patients preferred prostheses, leading to a combined rehabilitation approach for others.
Area of Science:
- Hand surgery
- Reconstructive surgery
- Microsurgery
Background:
- Severe hand defects following amputation present significant functional challenges.
- Patient autonomy in treatment decisions is crucial for rehabilitation outcomes.
Observation:
- Out of 36 patients with severe hand defects, 25 opted for surgical interventions.
- Microsurgical toe transplantation was a component of plastic operations for 15 patients.
- 11 patients found satisfaction with prostheses alone.
Findings:
- A majority of patients preferred reconstructive surgery over prostheses.
- A tailored rehabilitation strategy was developed, combining surgical plasty and prosthetics.
- This complex method was successfully applied to 11 patients.
Implications:
- Patient-centered care significantly influences treatment choices in hand reconstruction.
- Microsurgical techniques offer viable solutions for severe hand deformities.
- Integrated approaches combining surgery and prosthetics can optimize rehabilitation for amputees.