Article

For several decades, prosthetic use was the only option to restore function after
upper extremity amputation. Recent years have seen advances in the field of
prosthetics. Such advances include prosthetic design and function,
activity-specific devices, improved aesthetics, and adjunctive surgical
procedures to improve both form and function. Targeted reinnervation is one
exciting advance that allows for more facile and more intuitive function with
prosthetics following proximal amputation. Another remarkable advance that holds
great promise in nearly all fields of medicine is the transplantation of
composite tissue, such as hand and face transplantation. Hand transplantation
holds promise as the ultimate restorative procedure that can provide form,
function, and sensation. However, this procedure still comes with a substantial
cost in terms of the rehabilitation and toxic immunosuppression and should be
limited to carefully selected patients who have failed prosthetic reconstruction.
Hand transplantation and prosthetic reconstruction should not be viewed as
competing options. Rather, they are two treatment options with different
risk/benefit profiles and different indications and, hence vastly different
implications.
CI - Copyright (c) 2014 Hanley & Belfus. Published by Elsevier Inc. All rights
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Langue : ANGLAIS