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首页> 外文期刊>Journal of hand therapy: Official journal of the American Society of Hand Therapists >A case report: Transhumeral amputee treatment with osseointegrated prosthesis and rehabilitation
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A case report: Transhumeral amputee treatment with osseointegrated prosthesis and rehabilitation

机译：案例报告：Transhumal截肢者治疗骨整合假肢和康复

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People with proximal transhumeral amputation usually choose prosthesis as an alternative to improve occupational performance, but frequently presenting difficulties in the distal control, poor elevation to reach some object, and tolerance to use in ADL and day time, added to frustration and high perception of disability. This report described the results in the first experience with one patient who suffered a work accident in Chile in a long-term following up 7 years after discharge, who take the choice for osteointegrated prosthesis training for amputation at the proximal transhumeral level and hybrid system (electrical elbow and body-power hook), the patient has previous experience with conventional body-power prosthesis and caps. For this, a standard rehabilitation protocol was applied, modifying it in relation to the Chilean experience in classical prosthetic training. The evaluation methodology consisted of daily time measurement, functional test of 400 points (adapted), range of motion, VAS, and DASH. The patient underwent these tests with conventional mechanical support prostheses with a common cap before the osseointegration surgery and then at the end of the protocol with the new osseointegrated prostheses.
机译：经肱骨近端截肢患者通常选择假体作为改善职业表现的替代方案，但经常出现远端控制困难、到达某个物体的仰角差、ADL和日间使用耐受性差等问题，增加了挫败感和高度残疾感。本报告描述了一名患者出院后7年的长期随访中在智利遭遇工伤事故的第一次经验，该患者选择接受近端经肱骨水平截肢和混合系统（电动肘和身体动力钩）的骨整合假体训练，患者之前曾使用过传统的肢体力量假肢和假肢帽。为此，采用了标准康复方案，并根据智利在古典假肢训练中的经验对其进行了修改。评估方法包括每日时间测量、400点功能测试（调整）、活动范围、VAS和短跑。在进行骨整合手术之前，患者使用常规机械支持假体（带普通帽）进行这些测试，然后在方案结束时使用新的骨整合假体。

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