Pinzur M S, Angelats J, Light T R, Izuierdo R, Pluth T
Department of Orthopaedic Surgery, Loyola University Medical Center, Maywood, IL 60153.
J Hand Surg Am. 1994 Sep;19(5):836-9. doi: 10.1016/0363-5023(94)90197-X.
Nineteen consecutive patients underwent traumatic upper limb amputation for nonreconstructible or replantible upper limb injury at a Level I trauma center over a 9-year-period. Eleven amputations were at the transradial level, five were transhumeral, and three were shoulder disarticulation. Eighteen patients underwent prosthetic limb fitting. Fifteen of the 18 initially underwent preparatory prosthetic limb fitting within 30 days following amputation with a body-powered, cable-driven prosthesis. Seventeen of the 18 achieved sufficient proficiency with their prostheses to allow them to return to work. Of these, 15 maintained daily functional prosthetic use of at least 8 hours daily at a followup examination of 12 to 110 months. Use of prosthetic limb following traumatic upper limb amputation carries a high probability for functional rehabilitation if limb fitting and prosthetic training are instituted as soon as the residual limb can tolerate the prosthetic socket as opposed to waiting for the residual limb to "mature".
在9年的时间里，一家一级创伤中心有19名连续的患者因上肢损伤无法重建或再植而接受了创伤性上肢截肢手术。其中11例为经桡骨截肢，5例为经肱骨截肢，3例为肩关节离断。18例患者接受了假肢装配。18例患者中有15例在截肢后30天内首次使用了动力驱动、缆线控制的假肢进行预备性假肢装配。18例患者中有17例能够熟练使用假肢并重返工作岗位。其中，15例在12至110个月的随访检查中，每天使用功能性假肢至少8小时。如果在残肢能够耐受假肢接受腔时就立即进行假肢装配和假肢训练，而不是等待残肢“成熟”，那么创伤性上肢截肢后使用假肢进行功能康复的可能性很大。
