[article] 
inAmerican Journal of Occupational Therapy > Vol. 64/6 (novembre-décembre 2010) . - p. 923-928

Titre :	Rehabilitation for bilateral amputation of fingers
Type de document :	texte imprimé
Auteurs :	Martin A. STAPANIAN ; Adrienne M. P. STAPANIAN ; Keith E. STALEY
Année de publication :	2010
Article en page(s) :	p. 923-928
Langues :	Anglais (eng)
Mots-clés :	Activités vie quotidienne  Doigt  Chirurgie
Résumé :	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.
Permalink :	./index.php?lvl=notice_display&id=14213

[article] Rehabilitation for bilateral amputation of fingers [texte imprimé] / Martin A. STAPANIAN ; Adrienne M. P. STAPANIAN ; Keith E. STALEY . - 2010 . - p. 923-928.
Langues : Anglais (eng)
in American Journal of Occupational Therapy > Vol. 64/6 (novembre-décembre 2010) . - p. 923-928

Mots-clés :	Activités vie quotidienne  Doigt  Chirurgie
Résumé :	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.
Permalink :	./index.php?lvl=notice_display&id=14213