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Updated: Jul 10, 2025

Therapy Interventions for Upper Limb Amputees Undergoing Selective Nerve Transfers
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在重大创伤上肢截肢之后,患者报告的重大残疾.

Joonas Pyörny1, Margit Karelson2, Ida Neergård Sletten3

  • 1Faculty of Medicine and Health Technology, Tampere University, Finland.

The Journal of hand surgery, European volume
|November 23, 2023
PubMed
概括

靠近的上肢截肢显著影响日常生活和工作,即使在成功的移植或修复手术后. 许多患者经历了持续的残疾,并努力恢复他们以前的就业.

关键词:
截肢是一种截肢.再种植,重新种植.这是一种创伤性创伤.上肢的上端部分.

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科学领域:

  • 整形外科手术 整形外科手术
  • 康复医学 康复医学 康复医学
  • 创伤学 创伤学 创伤学

背景情况:

  • 创伤性近道上肢截肢带来复杂的治疗挑战.
  • 重植和修复截肢是手术选择,但长期结果需要评估.

研究的目的:

  • 评估患者在近端上肢截肢治疗后报告的结果.
  • 调查这些伤害和手术干预后的返回工作率.

主要方法:

  • 确定了38名患有骨或骨附近创伤性截肢的患者队列.
  • 31名患者参加了这项研究,他们接受了移植或修复截肢.
  • 手臂,肩膀和手的残疾 (DASH) 结果测量是主要的结果评估.

主要成果:

  • 患者报告了移植后的显著残疾 (中位数DASH 30) 和修订截肢 (中位数DASH 33).
  • 寒冷不耐受,手部功能低下和美学不佳是常见的抱怨.
  • 在17名有工作的患者中,有10人没有回到以前的工作位.

结论:

  • 主要的上肢截肢导致实质性的功能限制和降低生活质量.
  • 即使成功的重植也不能保证完全恢复受伤前的工作能力.
  • 患者报告的结果凸显了全面康复和职业支持的需要.