Prostheses for partial hand amputations/1

Bender, Leonard F.

doi:10.3109/03093647809146290

Cited by 9 publications

(6 citation statements)

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“…For instance, among the realistic silicone prostheses mentioned earlier, wiring or semi‐rigid internal armature is often embedded within the fingers of the prosthesis to provide an adjustable finger position, allowing some objects to be held or manipulated 24 . Another example is adjustable opposition posts, which allow a portion of a residual limb to leverage against a fixed prosthetic device to provide grasping function 34‐36 . Titanium‐based, passive, adjustable digits that utilize a ratchet design are also available.…”

Section: Passive Prosthesesmentioning

confidence: 99%

“…Their quick‐release attachment allows for short duration use of many activity‐specific devices, including devices for biking, kayaking, shooting, fishing, musical instrument use, photography, or stabilization of other activity‐specific objects. In individuals with multiple, distal transmetacarpal amputations, a mitt prosthesis can be constructed to provide a large prehension surface area for pulling activities such as lifting furniture and can be practical for individuals with labor‐intensive occupations 34 …”

Section: Passive Prosthesesmentioning

confidence: 99%

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Current and emerging prostheses for partial hand amputation: A narrative review

Kim

Powell

Lacey

et al. 2022

PM&R

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Partial hand amputation can have a tremendous range of impact and functional loss on a person's life. One solution to improve function and address some of the problems that partial hand amputees face is to fit them with a prosthesis. Partial hand prosthetic devices range in a wide spectrum in both function and aesthetics. At this time, there is no one, perfect prosthetic device that can replace what is lost. Many individuals with partial hand amputation require more than one prosthetic device. In this review article, we explored and compared several prosthetic options that have been investigated and marketed by researchers and companies. Some of these options include passive, bodypowered, activity-specific, and externally-powered prostheses. Lastly, we described our experiences with partial hand prostheses at Walter Reed National Military Medical Center.

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Section: Passive Prosthesesmentioning

confidence: 99%

Section: Passive Prosthesesmentioning

confidence: 99%

Current and emerging prostheses for partial hand amputation: A narrative review

Kim

Powell

Lacey

et al. 2022

PM&R

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“…This can involve the use of other fingers if available or use of the toes (usually the big toe) to replace a lost finger (Clark et al, 1998;Valauri and Buncke, 1992). Prior to availability of autologous transplant surgery, patients such as this man, would be fitted with partial hand prostheses but as the loss of fingers on both hands is uncommon, such procedures were not often reported (Malick, 1975;Moberg, 1975;Bender, 1978;de Neve, 1986). Since the introduction of autologous transplants, there has been extensive reporting of this option for finger loss but little reporting of the previously used non-surgical alternatives (Bosarge, 1976;Herndon et al, 1975;Yoshimura et al, 1980;Leung, 1986;Wei et al, 1997).…”

Section: Surgical Optionsmentioning

confidence: 99%

Case report

Zeman

Wood

2000

Prosthetics &Amp; Orthotics International

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This case report describes the rehabilitation path of a man who sustained severe burns to his body and extremities as a result of a bushfire. The fingers of both hands were amputated except the thumbs and although he was a candidate for autologous transplant, declined this option for various reasons. Bilateral prostheses were made and resulted in a significant improvement in functional outcome without the need for surgery. Prostheses are practical alternatives to surgery and should be considered in selected patients. HistoryMr A. was a 51-year-old man who was severely burnt in a bushfire on the 1st January 1998 while a volunteer bushfighter. He sustained 60% partial and full thickness burns to the face, chest, arms, back and legs. Initially, he was admitted to an acute burns unit where he was an inpatient for three months. Treatment there involved emergency resuscitative care including vascular stabilisation with fluid replacement, airway provision, initial debridement and wound covering, pain relief and management of shock. Surgical amputation of the fingers of both hands excluding the thumbs was required, due to the initial burns, combined with extensive treatment for associated injuries. There were seven series of split skin grafts and his stay in the acute hospital was complicated by pneumonia, prostatitis, and wound infections with multiple-resistant Staphylococcus aureus. As well, he developed acute renal failure and sepsis which resolved with treatment.All correspondence to be addressed to Dr Brian Zeman, Senior Staff Specialist, Coorabel Unit, Royal Rehabilitation Centre, 59 Charles Street, Ryde, NSW 2112, Sydney, Australia.When his condition stabilised, he was offered reconstructive surgery with an autologous transplant from his toes to replace the absent fingers. This was offered as a staged procedure for each hand. For various reasons which included the loss of foot function and reluctance to have further surgery, he declined. By this stage, he was managed in a general rehabilitation ward. As no further major surgery was planned he was then transferred to the Royal Rehabilitation Centre, Sydney, six months after the injury, for further rehabilitation and to join his wife who had also been severely burnt.Before his injury, Mr A. was employed fulltime as a fibreglass moulder and also had a hobby stonefruit farm. He was trained as a fitter and turner and was left hand dominant. There were no previous significant injuries or medical problems. PresentationOn presentation to the rehabilitation centre, he was able to walk without assistance and had no functional problems with ambulation. Examination of his hands confirmed amputation of the fingers of both hands excluding the thumbs. On the left hand, he had amputation of the fifth digit at the proximal interphalangeal joint, and amputations of the second, third and fourth digits at the metacarpophalangeal joints. On the right hand, he had amputations of the third, fourth and fifth fingers at the metacarpophalangeal joint and amputation of the second ...

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“…When the dorsal (extensor) aspect only is involved it is termed a zone VIII extensor tendon injury [5]. Partial hand injury occurs when a part of the hand distal to the wrist is affected and this can be from simple injury to near total amputation [9,10].…”

Section: Introductionmentioning

confidence: 99%

Near Hand Amputation: A Report of Four Cases

2023

PSSRP

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Background:The hand is an important part of the body that helps man express his thought and skills to the physical world. It is very essential to both function and cosmesis. Loss of this important body part can be devastating to the victim. We defined near total hand amputation as injury between the wrist and musculotendinous junction of extrinsic muscles of the hand transecting extensor and flexor compartment structures either passing through the wrist joint or transecting the two bones of the forearm leaving the hand attached to strip(s) of soft tissue.There are few reported cases of this type of injuries and most often completion amputation is done with loss of the hand. This study reports the outcome of near total hand amputation repair without revascularization in four patients seen and managed in Abubakar Tafawa Balewa University Teaching Hospital (ATBUTH) in 2020. This shows that with basic surgical equipment, hand salvage surgeries can be done with very good outcome. Methods: Consecutive Patients with near total hand amputation seen and managed in ATBUTH in 2020 were recruited for this case series report. Results: Four patients with such injury were seen and managed within four months in 2020. Three had their hands repaired with very good outcome while one had a completion amputation. Three out of the four had injury to their right hand, all four were right-handed males in their third decade of life and injuries commenced from ulnar borders. Majority had transection of virtually all structures except branches of major vessels. Conclusion: The study shows that a number of near hand amputation can be salvaged with basic equipment with significant functional and cosmetic outcome.

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Prostheses for partial hand amputations/1

Cited by 9 publications

References 0 publications

Current and emerging prostheses for partial hand amputation: A narrative review

Current and emerging prostheses for partial hand amputation: A narrative review

Case report

Near Hand Amputation: A Report of Four Cases

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