Opposition Splint for Partial Thumb Amputation: A Case Study Measuring Disability before and after Splint Use

Dewey, William S.; Richard, Reg; Hedman, Travis L.; Chapman, Ted T.; Quick, Charles; Renz, Evan M.; Blackbourne, Lorne H.; Wolf, Steven E.; Holcomb, John B.

doi:10.1016/j.jht.2008.08.004

Cited by 9 publications

(3 citation statements)

References 12 publications

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“…Um Kontrakturen in der ersten Zwischenfingerfalte zu vermeiden, bietet sich ein C-Splint an [40]. Schwimmhautbildung in den übrigen Zwischenfingerfalten wird mit der Anpassung von Fingerspreizern vermieden [39].…”

Section: Rehabilitationunclassified

Erfrierungen an der Hand

Schulz¹,

Stukenberg²,

Siemers³

2020

Handchirurgie Scan

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Section: Rehabilitationunclassified

Erfrierungen an der Hand

Schulz¹,

Stukenberg²,

Siemers³

2020

Handchirurgie Scan

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“…The thumb is regarded as the most important digit of the hand, accounting for approximately 40% of the entire function of the hand. 1 Three finger pinch, key pinch, grip strength and opposition help to accomplish many tasks of routine daily life; loss of a functional thumb leads to loss of patient autonomy. 2 In 2018, the CDC reported that approximately 13% of all emergency department visits, over 3 million total, were due to injuries of the wrist, hand and fingers.…”

Section: Introductionmentioning

confidence: 99%

Open Wound Reconstruction of the Thumb Tip: A Review of Current Literature and Case Reports

Cortes,

Datiashvili

2024

OAS

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The thumb is regarded as the most important digit of the hand, accounting for approximately 40% of the entire function of the hand, loss of a functional thumb leads to loss of key functions and patient autonomy. When the nature of the injury and the amputated part allow it, replantation is the standard of care. However, in cases of tip injury, where the amputated tissue is destroyed or otherwise rendered unusable, other reconstructive methods are used. It is imperative to maintain as much function and sensation as possible while restoring as much lost function and sensation as possible. This includes preservation of the interphalangeal (IP) joint, achieving good soft tissue coverage and restoring motor and sensory functions. With a variety of techniques described in the literature, thumb reconstruction proves to be a formidable task. Moreover, the technique selected must minimized complications associated with reconstruction such as hypersensitivity, contracture deformities, poor aesthetics, limited range of motion and insufficient coverage. We review and summarize the techniques of revision amputation, Moberg advancement flap, FDMA flaps, free tissue transfer from the great toe and non-operative management. We include case reports that highlight the benefits and limitations of some of these techniques.

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“…Mechanical prostheses and myoelectric partial-hand prostheses are available for people who have lost entire hands or parts of hands (Meredith, 1994;Putzi, 1992). Although functional splints for partial and full amputations of the pollex have recently been developed (Dewey et al, 2009;Sudhagar & LeBlanc, 2009), functional prostheses are lacking for people who have bilateral amputations of all or most of all of the fingers (Stapanian et al, 2008).…”

mentioning

confidence: 99%

Rehabilitation for Bilateral Amputation of Fingers

Stapanian

Staley

2010

The American Journal of Occupational Therapy

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We describe reconstructive surgeries, therapy, prostheses, and adaptations for a patient who experienced bilateral amputation of all five fingers of both hands through the proximal phalanges in January 1992. The patient made considerable progress in the use of his hands in the 10 mo after amputation, including nearly a 120% increase in the active range of flexion of metacarpophalangeal joints. In late 1992 and early 1993, the patient had "on-top plasty" surgeries, in which the index finger remnants were transferred onto the thumb stumps, performed on both hands. The increased web space and functional pinch resulting from these procedures made many tasks much easier. The patient and occupational therapists set challenging goals at all times. Moreover, the patient was actively involved in the design and fabrication of all prostheses and adaptations or he developed them himself. Although he was discharged from occupational therapy in 1997, the patient continues to actively find new solutions for prehension and grip strength 18 yr after amputation.

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Opposition Splint for Partial Thumb Amputation: A Case Study Measuring Disability before and after Splint Use

Cited by 9 publications

References 12 publications

Erfrierungen an der Hand

Erfrierungen an der Hand

Open Wound Reconstruction of the Thumb Tip: A Review of Current Literature and Case Reports

Rehabilitation for Bilateral Amputation of Fingers

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