1/14. thumb reconstruction in a bilateral upper extremity amputee: an alternative to the Krukenburg procedure.A 23-year-old man sustained traumatic loss of both hands. His left defective forearm underwent lengthening with a 3-cm segment of the ipsilateral radius; this was immediately followed by an ipsilateral second toe microvascular transfer to the stump of the radius to provide pinch. Two years after the procedure the reconstructed hand had recovery of both motion and sensibility.- - - - - - - - - - ranking = 1keywords = amputee (Clic here for more details about this article) |
2/14. Save that arm: a study of problems in the remaining arm of unilateral upper limb amputees.A study has been made by questionnaire, personal examination and telephone interview of unilateral upper limb amputees seen at the Prince Henry Hospital, australia between 1994 and 1997. There were 60 questionnaires posted. Replies were received from 46. Problems were noted in the remaining arm of 23 (50%). The respondents' problems not only consisted of overuse symptoms, but also of an exacerbation of pre-existing arthritis and injury due to trauma to the remaining arm during the accident. Case histories are given in 3 typical cases. Treating professionals are warned about the hazards that one arm amputations present to the remaining arm.- - - - - - - - - - ranking = 1.25keywords = amputee (Clic here for more details about this article) |
3/14. Amputee fetishism and genital mutilation: case report and literature review.A case is presented of a 49-year-old man who amputated his penis following instructions that he had obtained from the internet. The patient had a long-standing amputee fetish, which evolved into eroticized genital mutilation. The transformation of the preferred fetish occurred in a setting of depression due to environmental stressors. The literature about amputee fetishism, also called "apotemnophilia," is reviewed, and possible connections with the genital mutilation are discussed.- - - - - - - - - - ranking = 0.5keywords = amputee (Clic here for more details about this article) |
4/14. Fitting of electronic elbow on an elbow disarticulated patient by means of a new surgical technique.rehabilitation of trans-humeral amputees represents a challenge. One of the difficulties to overcome is prosthetic suspension. In the case of elbow disarticulation the presence of humeral condyles permits better suspension, but there is no room for elbow joints, particularly electronic ones, and the only available mechanisms are provided by external hinges. The purpose of this report is to present a case of a primarily elbow disarticulated patient, with indication for surgical revision due to bad skin coverage, neuroma and the wish to improve prosthetic fitting. The surgical plan outlined was to produce a shortening of the humerus, by means of an osteotomy just above the humeral condyles, preserving them for prosthetic suspension. This bone reduction was carried out with complementary shaping of bone segments with an indentation to enhance fixation. The operation was completed with neuroma resection, myodesis and removal of the skin grafted area. Preservation of the humeral condyles actually produced effective suspension. For final fitting a utah Arm II was used, with wrist rotator, and interchangeable hand and Greifer for terminal devices. Good initial results and at nine months follow-up suggest this procedure should be considered in other elective situations.- - - - - - - - - - ranking = 0.25keywords = amputee (Clic here for more details about this article) |
5/14. Ultrasound study of the motion of the residual femur within a trans-femoral socket during daily living activities other than gait.This study analyses the residual femur motion of a single amputee within a transfemoral socket during a series of daily living activities. Two simultaneously transmitting, socket mounted transducers were connected to two ultrasound scanners. Displacement measurements of the ultrasound image of the femur were video recorded and measured on "paused" playback. Abduction/adduction and flexion/extension of the residual femur within the socket at any instant during these activities were estimated, knowing the relative positions of the two transducers and the position of the residual femur on the ultrasound image. Consistent motion patterns of the residual femur within the trans-femoral socket were noted throughout each monitored daily living activity of the single amputee studied. Convery and Murray (2000) reported that during level walking, relative to the socket, the residual femur extends 6 degrees and abducts 9 degrees by mid-stance while flexing 6 degrees and adducting 2 degrees by toe-off. Uphill/downhill, turning to the right and stepping up/down altered this reported pattern of femoral motion by approximately 1 degree. During the standing activity from a seated position the femur initially flexed 4 degrees before moving to 7 degrees extension, while simultaneously adducting 6 degrees. During the sitting activity from a standing position the femur moved from 7 degrees extension and 6 degrees adduction to 3 degrees flexion and 1 degree abduction. The activity of single prosthetic support to double support introduced only minor femoral motion whereas during the activity of prosthetic suspension the femur flexed 8 degrees while simultaneously adducting 9 degrees. Additional studies of more amputees are required to validate the motion patterns presented in this investigation.- - - - - - - - - - ranking = 0.75keywords = amputee (Clic here for more details about this article) |
6/14. phantom limb pain induced in amputee by strong magnetic fields.An amputee (traumatic) experienced increased phantom limb pain when exposed to the magnetic fields of two magnetic resonance imagers. With a visual analog scale used to measure pain, electric stimulation studies demonstrated that the residual limb was unusually sensitive to subthreshold (for muscle twitch) levels of current. The painful symptoms produced mimicked those experienced in the presence of the imagers.- - - - - - - - - - ranking = 1.25keywords = amputee (Clic here for more details about this article) |
7/14. Limb deficiency and prosthetic management. 1. decision making in prosthetic prescription and management.This self-directed learning module highlights decision making in prosthetic management in pediatric and adult patients. This chapter reviews classification of congenital limb deficiency and management of congenital pediatric upper-extremity amputees. Differences in management of amputees of various ages from infancy to old age is discussed. Case examples are used to formulate prosthetic prescriptions for transradial limb deficiency as well as knee disarticulation and transtibial level amputations. Common prosthetic gait deviations and anticipated functional levels are evaluated. overall Article Objective: To discuss prosthetic prescription and management in congenital limb deficiency and acquired amputations for patients of various ages.- - - - - - - - - - ranking = 0.5keywords = amputee (Clic here for more details about this article) |
8/14. Care of the psychotic self-amputee undergoing replantation.The acutely psychotic self-amputee may be brought to the emergency room out of control, refusing treatment. Although these conditions make it difficult for the surgeon to provide restorative surgery, these patients may be quite grateful when resolution of psychosis restores realistic thinking and better judgment. This article describes the treatment of two such patients and provides practical guidelines for general behavioral management. The focal point of the approach is the formation of a surgeon/psychiatrist team that actively and consistently confronts and manages the disturbed behavior from the time the patient arrives in the emergency room until after discharge. Responsibility for deciding to operate when the patient is verbally refusing must be shared by surgeon and psychiatrist. Both surgeon and psychiatrist must be active in the treatment, each contributing his particular expertise to the collaborative effort.- - - - - - - - - - ranking = 1.25keywords = amputee (Clic here for more details about this article) |
9/14. Prostheses for partial hand amputations.amputation of part of a hand may create significant functional limitations for the amputee which are difficult to ameliorate by either orthoses or prostheses. To help develop a logical approach to devices for partial hand amputations the patterns of losses have been studied and a division into four categories has been proposed. Transphalangeal, thumb spared; thenar, partial or complete; transmetacarpal, distal; transmetacarpal, proximal. By utilizing basic principles of orthotics and prosthetics and by exercising ingenuity, it is often possible to provide considerable improvement in function and/or cosmesis to individuals with partial hand amputations. Case illustrations and their prosthetic solutions are presented.- - - - - - - - - - ranking = 0.25keywords = amputee (Clic here for more details about this article) |
10/14. Cross leg flap in a bilateral traumatic amputee.A case report of a bilateral traumatic amputee who underwent a cross leg flap to preserve a knee disarticulation level amputation is presented. Salvage of amputated parts in the lower extremities to preserve stamp length provided our patient with better stability and decreased energy expenditure with ambulation.- - - - - - - - - - ranking = 1.25keywords = amputee (Clic here for more details about this article) |
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