Melikyan E Y, Beg M S A, Woodbridge S, Burke F D
The Pulvertaft Hand Centre, Derbyshire Royal Infirmary, London Road, Derby DE1 2QY, UK.
Hand Surg. 2003 Jul;8(1):47-51. doi: 10.1142/s0218810403001388.
Twenty patients (14 males, six females) were assessed at an average of 32 months (ten to 156 months) after ray amputation using the disability shoulder, arm, hand (DASH) questionnaire, physical examination and functional testing. There were 14 border (eight index, six little) and six central ray (five middle, one ring) amputations. Our results showed on average 27% less grip and 22% three-point pinch strength in the operated hands. Peak power output was 22% and average work output 14% less on the operated side than the contralateral hand. The DASH function score was 29.2 (range 3.3-74.2). Nine patients returned to their previous occupation, two had to change jobs and two did not return to work. Six patients were not working, one was of school age. The ensuing disability remained within limits reflected by our measurements and the acceptance of the patients.
20例患者（14例男性，6例女性）在射线截肢术后平均32个月（10至156个月）接受了评估，评估采用了残疾肩、臂、手（DASH）问卷、体格检查和功能测试。其中有14例为边缘射线截肢（8例示指，6例小指），6例为中央射线截肢（5例中指，1例环指）。我们的结果显示，患侧手的握力平均比健侧低27%，三点捏力比健侧低22%。患侧的峰值功率输出比健侧手低22%，平均功输出比健侧低14%。DASH功能评分为29.2（范围3.3 - 74.2）。9例患者恢复了之前的工作，2例不得不更换工作，2例未恢复工作。6例患者没有工作，1例为学龄儿童。随后的残疾程度仍在我们测量结果以及患者可接受的范围内。
