Kumar Bhaskaranand1, Anil K Bhat, K Narayana Acharya. 1. Hand and Microvascular Surgery Unit, Department of Orthopaedics, Kasturba Medical College, 576119 Manipal, Karnataka, India. drbhaskaranand@yahoo.com
Abstract
INTRODUCTION: Rehabilitation of traumatic upper limb amputees depends on a multitude of factors. This study attempts to evaluate the success of prosthetic rehabilitation in this group of patients, determine the reasons for non-compliance and find ways to increase prosthetic acceptance. MATERIALS AND METHODS: The prosthetic rehabilitation status of 71 traumatic upper-limb amputees was assessed by a questionnaire and clinical review. A Prosthetic Rehabilitation Scoring (PRS) system, based on patient satisfaction, prosthetic usage and activity level, was devised to quantify the success of rehabilitation. RESULTS: The rehabilitation was found to be equally good in above-elbow and below-elbow amputees. The delay in fitting of the prosthesis had no correlation with successful rehabilitation. Chances of successful rehabilitation decreased when the prosthesis fitting was done in older patients. The main reasons for inadequate use of the prosthesis were repeated mechanical failure and the high cost of repair and replacement. CONCLUSION: In order to achieve an optimum benefit for the patient in a developing country, the prosthesis should be durable, inexpensive and have a low cost of maintenance.
INTRODUCTION: Rehabilitation of traumatic upper limb amputees depends on a multitude of factors. This study attempts to evaluate the success of prosthetic rehabilitation in this group of patients, determine the reasons for non-compliance and find ways to increase prosthetic acceptance. MATERIALS AND METHODS: The prosthetic rehabilitation status of 71 traumatic upper-limb amputees was assessed by a questionnaire and clinical review. A Prosthetic Rehabilitation Scoring (PRS) system, based on patient satisfaction, prosthetic usage and activity level, was devised to quantify the success of rehabilitation. RESULTS: The rehabilitation was found to be equally good in above-elbow and below-elbow amputees. The delay in fitting of the prosthesis had no correlation with successful rehabilitation. Chances of successful rehabilitation decreased when the prosthesis fitting was done in older patients. The main reasons for inadequate use of the prosthesis were repeated mechanical failure and the high cost of repair and replacement. CONCLUSION: In order to achieve an optimum benefit for the patient in a developing country, the prosthesis should be durable, inexpensive and have a low cost of maintenance.
Authors: John T Johnson; Daniele de Mari; Harper Doherty; Frank L Hammond; Lewis A Wheaton Journal: Exp Brain Res Date: 2022-03-07 Impact factor: 1.972
Authors: Stefan Salminger; Agnes Sturma; Aidan D Roche; Laura A Hruby; Tatjana Paternostro-Sluga; Martin Kumnig; Marina Ninkovic; Gerhard Pierer; Stefan Schneeberger; Markus Gabl; Adam Chelmonski; Jerzy Jablecki; Oskar C Aszmann Journal: PLoS One Date: 2016-09-02 Impact factor: 3.240