COMPLETE REHABILITATION OF THE PATIENT WITH BILATERAL AMPUTATION OF HANDS | Issues of reconstructive and plastic surgery. 2019. № 4 (71). DOI: 10.17223/1814147/71/03

COMPLETE REHABILITATION OF THE PATIENT WITH BILATERAL AMPUTATION OF HANDS

Replantation is the standard surgical treatment for patients with amputation of the upper limb; but if there is a wide amputation zone and additional damage to the amputated segment, it is not always possible to perform this operation. We presented the long-term result of the comprehensive rehabilitation of a 24-year-old patient with bilateral amputation of the hands. Surgical intervention included primary treatment of wounds of the stump and amputate, fixation of bones, restoration of tendons, arterial and venous anastomoses, nerve suture and skin closure. The rehabilitation program included physiotherapy, electrical stimulation, occupational therapy, individual orthosis, and training in using the prosthesis. Evaluation of the results was carried out 1.5 years after replantation. The patient showed a good restoration of the range of finger movements. Static point-to-point discrimination was 12 mm; there is pain and temperature sensitivity. Reinnervation was confirmed by electromyography. The patient was able to return to normal everyday life, driving a car. The results obtained indicate that a high functional result can be achieved by replanting an amputated segment with damage to it at several levels.

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Keywords

ампутация, реплантация, билатеральная ампутация кистей, верхние конечности, комплексная реабилитация, amputation, replantation, bilateral amputation of hands, upper limbs, complete rehabilitation

Authors

Name	Organization	E-mail
Sukhinin T.Yu.	State Clinical Hospital named after M.E. Zhadkevich	tsuhinin@gmail.com
Ovsyannikova A.D.	Clinic of High technology, Saint Petersburg State University named after N.I. Pirogov	med_ovsyannikova@mail.ru

Всего: 2

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