The effect of new method of suspension on quality of life, satisfaction, and suspension in patients with finger prostheses

Arazpour, Mokhtar; Mardani, Mohammad Ali; Bahramizadeh, Mahmood; Layeghi, Fereydoun; Zarezadeh, Fatemeh; Curran, Sarah

doi:10.1177/0309364614521653

Cited by 6 publications

(11 citation statements)

References 19 publications

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“…Thus, if at least 1 cm of mobile phalanx remains on the stump, the better the rehabilitation prognosis will be due to greater adherence and active retention. 1 This case presented a favorable prognosis because the remainder of the stump was more than 1 cm high, sufficient for a considerable adhesion of the silicone, without the need for medical adhesives. These adhesives are widely used in cases where the prognosis is not favorable to retention.…”

Section: Discussionmentioning

confidence: 87%

“…In addition to the grasping force reduction, the patient's participation in society and his self-esteem are greatly affected. 1 Prosthetic reconstruction after finger amputation can optimize the function and improve patient satisfaction. However, it is important to state that the prosthesis has to mimic the natural structure, reproducing shapes, lines, and colors, to act discreetly and attract less social attention.…”

Section: Introductionmentioning

confidence: 99%

“…In addition to the grasping force reduction, the patient's participation in society and his self-esteem are greatly affected. 1…”

Section: Introductionmentioning

confidence: 99%

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Simplified prosthetic rehabilitation of a patient with partial finger amputation after a firearm injury

Penitente

Silva

Tabata

et al. 2022

Prosthetics &Amp; Orthotics International

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Objective:This study reports a clinical case of rehabilitation of a patient who had her left little finger amputated at the mesial phalanx because of a gunshot wound. The finger prosthesis was custom- made using a silicone.Case description:This study presents a clinical case of a female patient who had her left little finger amputated at the mesial phalanx because of a gunshot wound in 2016. The patient was attended at a reference center in maxillofacial rehabilitation in the city of Brasilia, Distrito Federal, Brazil, for the manufacture of a finger prosthesis. After molding, a finger waxing was obtained using the right little finger as a template. The waxing was later adjusted on the plaster model of the affected stump. The prosthesis was manufactured with silicone and intrinsically stained with a makeup powder. A water-based adhesive and a ring were used to generate a slight compression so that the prosthesis was retained on the stump.Outcomes:The rehabilitation showed satisfactory levels of stability, retention, and aesthetics, and it was usable and clinically acceptable, as observed in a follow-up appointment in February 2020.Conclusions:The complete or partial reestablishment of functions performed by important structures, such as the fingers, is essential to increase the quality of life of individuals, improving their performance of daily activities. In addition, reporting on this public health problem allows scientific advancement in the area.

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Section: Discussionmentioning

confidence: 87%

Section: Introductionmentioning

confidence: 99%

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Simplified prosthetic rehabilitation of a patient with partial finger amputation after a firearm injury

Penitente

Silva

Tabata

et al. 2022

Prosthetics &Amp; Orthotics International

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“…В эпоху робототехники отдельного внимания достойны разработки инженеров в сфере проте-зов конечностей. Проводятся многочисленные исследования для получения чувствительных протезов, результаты которых выглядят много-обещающе [15,31,111,146]. тельности лучевой поверхности II-V пальцев -на 80% (для I пальца -те же цифры для локте-вой поверхности) [9].…”

Section: реабилитация после лечения травм дфпunclassified

SURGICAL MANAGEMENT OF DISTAL PHALANGEAL INJURIES OF FINGERS (review)

Khodzhabaghyan¹,

Pshenisnov²,

Abraamyan³

et al. 2016

Issues of reconstructive and plastic surgery

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Настоящий обзор основан на анализе отечественной и зарубежной литературы о хирургическом лечении повреждений дистальных фаланг пальцев кисти. Приведено описание имеющихся на настоящий момент клас-сификаций повреждений кончиков пальцев, возможных ошибок, допускаемых в ходе лечения на разных уров-нях оказания медицинской помощи. Особое внимание уделено современным методикам восстановления целостности кончиков пальцев кисти, оценке результатов лечения, наиболее часто встречаемым осложнениям и некоторым методам их устранения.Ключевые слова: дистальная фаланга, ноготь, травма кончика пальца, лоскуты, реплантация.This review is based on an analysis of literature on the surgical treatment of injuries of the distal phalanges of the fingers. The description of currently available several classifications of fingertip injuries and possible errors made during in the treatment at different levels of care are provided. Particular attention is paid to modern methods of restoring the integrity of the fingertips, assessing the treatment outcomes, the most common complications, and some methods for their elimination.Key words: distal phalanx, nail, fingertip injury, flaps, replantation.УДК 617.578-001-089.15 doi 10.17223/1814147/56/11 ВВЕДЕНИЕ Травмы дистальных фаланг пальцев (ДФП) кисти встречаются довольно часто во всем мире [7,33,40, 125]. D. Ootes и соавт. указывали, что самым частым типом травмы в США, заставляю-щим людей обратиться за неотложной медицин-ской помощью, являлась рваная рана пальца (221 случай на 100 тыс. населения ежегодно); перело-мы пальцев -на третьем месте (68 случаев на 100 тыс. населения ежегодно) [116]. С этими дан-ными коррелируют результаты исследований, проведенных в Великобритании, где частота пере-ломов пальцев составляет 380 случаев на 100 тыс. населения [42].Анализ показателей травматизма в России вы-явил, что 86,6% травматических повреждений кос-тей были переломами конечностей, в том числе 38,2% -верхних [1]. Значительную распростра-ненность травм в России А.Н. Коновалов (2008) связывал как с социально-экономическими изме-нениями в обществе, так и с сокращением целена-правленной работы по профилактике несчастных случаев, а также со снижением объема специаль-ных научных исследований по этой проблеме [8].Несмотря на то, что первое десятилетие XXI в. Всемирная организация здравоохранения провозгласила декадой по лечению костей и сус-тавов, определяя профилактику и лечение травм конечностей как одну из 5 приоритетных про-блем костно-мышечных заболеваний [95], до сих пор нет разработанного общепринятого прото-кола ведения больных с травмами ДФП, и мне-ния специалистов нередко диаметрально расхо-дятся [33, 98, 103].Недавний опрос кистевых хирургов разных стран показал, что существует большой разброс в выборе метода лечения при каждом конкрет-ном типе отчленения ДФП [103]. Выяснилось, что среди специалистов со стажем работы менее 5 лет наиболее вероятное решение -формиро-вание культи. Американские хирурги реже дела-ют реплантацию отчлененных участков и, по сравнению с хирургами других стран, меньше исп...

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“…Treatment of traumatic injuries requires immediate intervention, whereas congenital deformities need elective surgery. Additional causes for elective surgeries include the management of chronic conditions, such as peripheral arterial disease (PAD) and Dupuytren’s contracture, or cancer resection [ 3 , 4 , 5 ]. The highest incidence rates of finger amputations are found in children younger than five years and adults over sixty-five years [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Personalized Treatment Decisions for Traumatic Proximal Finger Amputations: A Retrospective Cohort Study

Dastagir

Obed

Dastagir

et al. 2023

JPM

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Ray and proximal phalanx amputations present valid surgical options for the management of severe traumatic finger injuries. However, among these procedures, the superior one for optimal functionality and quality of life for patients still remains unknown. This retrospective cohort study compares the postoperative effects of each amputation type to provide objective evidence and to create a paradigm for clinical decision-making. A total of forty patients who had received either ray or proximal phalanx-level amputations reported on their functional outcomes using a combination of questionnaires and clinical testing. We found a decreased overall DASH score following ray amputation. Particularly, Part A and Part C of the DASH questionnaire were consistently lower compared with amputation at the proximal phalanx. Pain measurements in the affected hand were also significantly decreased during work and at rest in ray amputation patients, and they reported decreased cold sensitivity. Range of motion and grip strength were lower in ray amputations, which is an important preoperative consideration. We found no significant differences in reported health condition, evaluated according to the EQ-5D-5L, and blood circulation in the affected hand. We present an algorithm for clinical decision-making based on patients’ preferences to personalize treatment.

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The effect of new method of suspension on quality of life, satisfaction, and suspension in patients with finger prostheses

Cited by 6 publications

References 19 publications

Simplified prosthetic rehabilitation of a patient with partial finger amputation after a firearm injury

Simplified prosthetic rehabilitation of a patient with partial finger amputation after a firearm injury

SURGICAL MANAGEMENT OF DISTAL PHALANGEAL INJURIES OF FINGERS (review)

Personalized Treatment Decisions for Traumatic Proximal Finger Amputations: A Retrospective Cohort Study

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