What microsurgeon, orthopaedic and plastic surgeon should know about bionic hand

Bumbaširević, Marko; Lešić, Aleksandar; Palibrk, Tomislav; Georgescu, Alexandru Valentin; Matei, Ileana Rodica; Vučetić, Čedomir; Pierluigi, Tos; Matić, Sladjana; Damjanović, Dušan; Raspopović, Staniša

doi:10.1016/j.injury.2019.10.065

Cited by 4 publications

(2 citation statements)

References 16 publications

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“…IMES transmit electromyography (EMG) data wirelessly to the prosthesis and are inductively coupled via an external coil integrated in the prosthesis socket. Follow-up of three patients with transhumeral amputations demonstrated significant functional improvements of an implanted system over surface electrodebased control [27,29]. While common myoelectric prostheses with surface EMG signals provide limited direct and intuitive control of the prosthesis, IMES-controlled prostheses provide very controlled EMG activity and more proportional and intuitive motion [30,31].…”

Section: Introductionmentioning

confidence: 99%

Hand Bionic Score: a clinical follow-up study of severe hand injuries and development of a recommendation score to supply bionic prosthesis

Werner

Alawi

2020

Eur J Plast Surg

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Background Severe hand injuries significantly limit function and esthetics of the affected hand due to massive trauma in skeletal and soft tissues. Surgical reconstruction is often unsatisfactory, so bionic prostheses are a consideration. However, assessment of functional outcomes and quality of life after surgical reconstruction to guide clinical decisions immediately after injury and in the course of treatment remain difficult. Methods We conducted a prospective follow-up analysis of patients with severe hand injuries during 2016–2018. We retrospectively evaluated initial trauma severity and examined current functional status, quality of life, general function, and satisfaction in everyday situations of the hand. We also developed a novel Hand Bionic Score to guide clinical recommendation for selective amputation and bionic prosthesis supply. Results We examined 30 patients with a mean age of 53.8 years and mean initial severity of hand injury (iHISS) of 138.4. Measures indicated moderate quality of life limitations, moderate to severe limitation of overall hand function, and slight to moderate limitation of actual hand strength and function. Mean time to follow-up examination was 3.67 years. Using the measured outcomes, we developed a Hand Bionic Score that showed good ability to differentiate patients based on outcome markers. Appropriate cutoff scores for all measured outcome markers were used to determine Hand Bionic Score classifications to guide clinical recommendation for elective amputation and bionic prosthetic supply: < 10 points, bionic hand supply not recommended; 10–14, bionic supply should be considered; or > 14, bionic supply is recommended. Conclusions While iHISS can guide early clinical decisions following severe hand injury, our novel Hand Bionic Score provides orientation for clinical decision-making regarding elective amputation and bionic prosthesis supply later during the course of treatment. The score not only considers hand function but also psychological outcomes and quality of life, which are important considerations for patients with severe hand injuries. However, future randomized multicenter studies are needed to validate Hand Bionic Score before further clinical application. Level of evidence: Level III, risk/prognostic study.

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Section: Introductionmentioning

confidence: 99%

Hand Bionic Score: a clinical follow-up study of severe hand injuries and development of a recommendation score to supply bionic prosthesis

Werner

Alawi

2020

Eur J Plast Surg

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“…Nocturnal pain can cause significant disruptions in sleep quality, especially in the third trimester, potentially leading to physical and psychological strain on the mother and potentially lead to premature birth. The physical examination may reveal sensory disorders along the median nerve distribution, where variations in the nerve's anatomy can cause impaired grip strength and prehension deficits, accompanied by hypotrophy/atrophy of the thenar muscles, which can be observed distal to the compression site [2,3,[8][9][10][11][12].…”

Section: Clinical Findings and Diagnosismentioning

confidence: 99%

Management of “De Novo” Carpal Tunnel Syndrome in Pregnancy: A Narrative Review

Cîmpeanu,

Roman,

Grigorescu

et al. 2024

JPM

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Carpal tunnel syndrome is a common entrapment neuropathy that can occur in the upper limbs during pregnancy. However, it is often undervalued and underdiagnosed because the symptoms can be mistaken for regular changes during pregnancy. Delay or absence of diagnosis and treatment can lead to permanent nerve damage, which can affect a woman’s quality of life during and after pregnancy. Although the treatment protocols are well established for carpal tunnel syndrome in patients from the general population, there is a different situation among pregnant and postpartum women that requires a preventive and personalized approach to manage this pathology. Unfortunately, the range of available treatment options is limited due to the pregnant woman’s physiological status and influenced by the high possibility of the complete resolution of this pathology in the postpartum period without any treatment. To limit the possibility of unfavorable evolution of this syndrome during pregnancy, an early diagnosis and personalized approach are mandatory in each case involving a multidisciplinary team of general practitioners, obstetricians, hand surgeons, rehabilitation physicians, physiotherapists, and occupational therapists.

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