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Rehabilitation for bilateral amputation of fingers

American Journal of Occupational Therapy

By:
, ,
DOI: 10.5014/ajot.2010.09153

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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.

Additional Publication Details

Publication type:
Article
Publication Subtype:
Journal Article
Title:
Rehabilitation for bilateral amputation of fingers
Series title:
American Journal of Occupational Therapy
DOI:
10.5014/ajot.2010.09153
Volume
64
Issue:
6
Year Published:
2010
Language:
English
Publisher:
American Occupational Therapy Association Press
Publisher location:
Bethesda, MD
Description:
6 p.
Larger Work Type:
Article
Larger Work Subtype:
Journal Article
First page:
923
Last page:
928