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首页> 外文期刊>Journal of prosthetics and orthotics: JPO >Case Report: Implementation of Hand Prosthosis as Part of Rehabilitation Team Effort Secondary to Blast Injury for US Iraq-War Veteran
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Case Report: Implementation of Hand Prosthosis as Part of Rehabilitation Team Effort Secondary to Blast Injury for US Iraq-War Veteran

机译:案例报告:在美国伊拉克战争退伍军人爆炸伤之后的修复小组努力中,实施手部假体修复

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摘要

In October 2005, a 23-year-old Operation Iraqi Freedom (OIF) Army Sergeant sustained blast injuries from a roadside bomb while riding in a vehicle. Injuries included full-thickness thermal burns to 45% of his body, brain trauma, compartment syndrome to both lower limbs and abdomen, multiple strokes, bilateral shoulder and arm contractures, and amputation of the left thumb. Treatment of the patient necessitated the combined expertise of medical rehabilitation teams. Patient treated in the field and at Iraq-based Military Hospital was then transferred to Germany and arrived at Brooke Army Hospital in the United States within a 5-day postinjury period. Subsequently, the patient was transferred to the James A. Haley Veterans Hospital in Tampa, Florida, and, after initial stabilization, received treatment at the Tampa General Regional Burn Center. The patient remained an inpatient on the James A. Haley Veterans Hospital Polytrauma Unit until his discharge. Management of care at the VA included surgery, occupational therapy, physical therapy, and prosthetic treatment. The patient suffers from paralysis and contractures of bilateral upper limbs, bilateral foot drop/ paralysis requiring the use of a power chair for long-distance ambulation. The patient has significantly limited use of his hands, but maintains function of the thenar eminence of the left hand. To restore hand functionality, patient was fitted with a hybrid orthosis-prosthesis consisting of a wrist-hand orthosis splint and a child's myoelectric hand. This case demonstrates the effectiveness of the rehabilitation team involved in complex cases of patient care and highlights the use of a battery-operated myoelectric device to establish added independence and a sense of self-reliance by successfully restoring functional grip and prehension of a paralyzed and partially amputated hand.
机译:2005年10月,一名23岁的伊拉克自由行动(OIF)军士在骑车时因路边炸弹爆炸而受伤。受伤包括全身热烧伤至其身体的45%,脑部创伤,下肢和腹部的隔室综合征,多发性中风,双侧肩和臂挛缩以及左拇指截肢。对患者的治疗需要医疗康复团队的综合专业知识。在野外和伊拉克军事医院接受治疗的患者随后在受伤后5天之内被转移到德国,并到达了美国的布鲁克陆军医院。随后,该患者被转移到佛罗里达州坦帕市的James A. Haley Veterans医院,经过初步稳定后,在坦帕总区烧伤中心接受治疗。患者出院前一直在詹姆斯·A·海利退伍军人医院多伤科住院。 VA的护理管理包括手术,职业治疗,物理治疗和修复治疗。该患者患有双侧上肢麻痹和挛缩,双侧脚下垂/麻痹,需要使用电动椅进行长距离行走。病人的手有明显的局限性,但是保持了左手的掌骨突出功能。为了恢复手的功能,患者安装了混合型矫形假体,包括手腕矫形夹板和儿童的肌电手。该案例展示了参与复杂患者护理的康复团队的有效性,并着重介绍了使用电池供电的肌电设备通过成功恢复瘫痪和部分瘫痪的功能性握持和感觉,建立额外的独立性和自力更生的感觉。截肢的手。

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