| Abstract: | 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. |
| Genre: | Article |
| ProdID: | 70037541 |
| Citation Author: | Stapanian, Martin A.; Stapanian, Adrienne M. P.; Staley, Keith E. |
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| Citation End Page: | 928 |
| Citation Issue: | 6 |
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| Citation Language: | English |
| Citation Larger Work Title: | American Journal of Occupational Therapy |
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| Citation Phsyical Description: | 6 p. |
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| Citation Publisher: | American Occupational Therapy Association Press |
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| Citation Search Results Text: | Rehabilitation for bilateral amputation of fingers; 2010; Article; Journal; American Journal of Occupational Therapy; Stapanian, Martin A.; Stapanian, Adrienne M. P.; Staley, Keith E. |
| Citation Start Page: | 923 |
| Citation Volume: | 64 |
| Citation Year: | 2010 |
| Type: | citation/reference |
| Text: | Rehabilitation for bilateral amputation of fingers; 2010; Article; Journal; American Journal of Occupational Therapy; Stapanian, Martin A.; Stapanian, Adrienne M. P.; Staley, Keith E. |
| URL (THUMBNAIL): | http://pubs.er.usgs.gov/thumbnails/outside_thumb.jpg |
| URL (DIGITAL OBJECT IDENTIFIER): | http://dx.doi.org/10.5014/ajot.2010.09153 |
| Date Other: | Fri, 1 Jan 2010 00:00 -0600 |
| Publisher: | American Occupational Therapy Association Press |
