This is the only comprehensive guide to the surgery, prosthetic fitting and rehabilitation of individuals sustaining an arm amputation. It incorporates the major advances in prosthetics and rehabilitation that have occurred in recent years and will improve the quality of service and the outcomes for those who sustain an arm amputation. Sections deal with the surgical aspects of arm amputation, the comprehensive management of the arm amputee, prosthetic restoration following arm amputation, the special concerns of upper extremity amputation in children and clinical outcomes.The incidence, demographics and functional outcomes are quite different from those of lower limb amputees. The arm amputee is most commonly a young man who sustains a traumatic injury, most often to his right, dominant arm. Because the incidence of arm amputation is low compared to that of the lower extremity, relatively few health professionals have much experience in providing surgery, therapy, rehabilitation, prosthetic care or counselling for a significant number of arm amputees. This book is the definitive text for these individuals.The prosthetic field, including its allied healthcare team, takes on a formidable task in restoring physical capabilities to the upper extremity amputee. This feat cannot be accomplished solely using modern technology and technology is not always the central issue. Optimal rehabilitation requires an underlying commitment in many essential areas of care: for one, sensitivity to the desires, anxieties and fears of the individual with amputation. Although the prosthetic practitioner has at his or her disposal more technology than ever before, restoring integral function for the amputee involves still more than mechanical application. Interdisciplinary, cooperative efforts in research, development and treatment between prosthetic practitioners and other constituents of the allied healthcare team is paramount. The rehabilitation process must focus not only on the provision and use of a prosthesis, but also on issues related to surgical procedures, self-determination and pain management. To this end, Functional Restoration of Adults and Children with Upper Extremity Amputation provides the definitive guide for all Surgeons, Prosthetists and Rehabilitation Professionals who work with upper limb amputees.
History of Arm Amputation, Prosthetic Restoration, and Arm Amputation Rehabilitation; Surgical Aspects of Arm Amputation. Amputation Levels and Surgical Techniques; Upper Extremity Salvage and Reconstruction for Trauma and Tumors; Upper Extremity Amputation Revision and Reconstruction; Surgical Options for Brachial Plexus Injury; Comprehensive Management for the Arm Amputee. Rehabilitation Planning for the Upper Extremity Amputee; Self-Determination of the Person with an Upper Extremity Amputation; Integrating Psychological and Medical Care: Practice Recommendations for Amputation; Pain Management for Upper Extremity Amputation; Evaluation of the Adolescent and Adult with Upper Extremity Amputation; The Prosthetist's Evaluation and Planning Process with the Upper Extremity Amputee; Foot Skills and Other Alternatives to Hand-Use; Postoperative and Preprosthetic Preparation; Functional Skills Training with Body-Powered and Externally Powered Prostheses; Prosthetic Restoration in Arm Amputation. Prosthetic Prescription; Aesthetic Restorations for the Upper Limb Amputee; Overview of Body-Powered Upper Extremity Prostheses; Externally Powered Prostheses for the Adult Transradial and Wrist Disarticulation Amputee; External-Power for the Transhumeral Amputee; of Powered Upper Extremity Prostheses; Creative Prosthetic Solutions for Bilateral Upper Extremity Amputation; Prosthetic Rehabilitation of Glenohumeral Level Deficiencies; Recreation and Sports Adaptations; Case Studies of Upper Extremity Amputations and Prosthetic Restoration; Pediatric Upper Extremity Amputation. Evaluation of a Child with Congenital Upper Extremity Limb Deficiency; Training the Child with a Unilateral Upper-Extremity Prosthesis; Pediatric Case Studies of Upper Extremity Limb Deficiencies; Outcomes in Upper Extremity Amputation. Follow-up, Outcomes, and Long-term Experiences in Adults with Upper Extremity Amputation; Return to Work Issues for the Upper Extremity Amputee;Historical Trends and the Future. Research Trends for the 21st Century.