Fitting a hand-glove prosthesis to enhance the reconstructed mutilated hand

The Journal of Hand Surgery
M E LeowR W Pho

Abstract

Microsurgical reconstruction of the severely mutilated hand aimed at improving prehensile functions often does not address the esthetic aspects of the hand. The poor appearance of the reconstructed hand affects its active display and use. A hand-glove prosthesis may be prescribed in this instance to enhance the overall form and function of the mutilated hand. We reviewed 16 cases of mutilating hand injuries in which surgical reconstructions were performed and the patients were subsequently fitted with a hand-glove prosthesis to augment the outcome. An improved appearance was achieved in all patients fitted with the prosthesis. The patients' sense of confidence was also enhanced, which in turn promoted the active and open use of the reconstructed hands. While prescribed primarily to improve the appearance of the reconstructed hands, these prostheses were documented to enhance the physical hand functions in 11 cases by increasing the span of the hand and providing an opposable post and a palmar base for holding and for anchorage. The prosthesis enhanced assistive functions of the reconstructed hands and freed the contralateral normal hand for use in bimanual activities, such as holding a wallet and taking out money, supporting a ...Continue Reading

References

Sep 1, 1992·The Journal of Hand Surgery·A Alison, S E Mackinnon
Apr 1, 1992·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·G S CampbellG Hooper
Jan 1, 1987·The Journal of Hand Surgery·R W Beasley
Sep 1, 1983·The Journal of Hand Surgery·D W Lamb
Sep 1, 1983·The Journal of Hand Surgery·J Pillet
Mar 1, 1996·The Journal of Hand Surgery·B P PereiraR W Pho
Apr 1, 1997·Prosthetics and Orthotics International·E L LeowR W Pho

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Citations

Mar 9, 2002·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·J Pillet, A Didierjean-Pillet
Jul 26, 2005·The Journal of Hand Surgery·Scott D LifchezHanh H Nguyen
Mar 8, 2006·Techniques in Hand & Upper Extremity Surgery·B P PereiraR W Pho
Mar 8, 2006·Techniques in Hand & Upper Extremity Surgery·M E LeowB P Pereira
Sep 24, 1999·Prosthetics and Orthotics International·M E Leow, R W Pho

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