足趾移植を行った手と筋電義手の機能差—両手切断の1症例—

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タイトル別名
  • The Functional Difference between Two Hands, One Treated by a Toe-to-finger Transfer and the other with a Myo-electric Hand Prosthesis – A Case Report of Bilateral Hand Amputation –
  • 症例報告 足趾移植を行った手と筋電義手の機能差 : 両手切断の1症例
  • ショウレイ ホウコク ソクシイショク オ オコナッタ テ ト キンデンギシュ ノ キノウサ : リョウテ セツダン ノ 1 ショウレイ
  • The Functional Difference between Two Hands, One Treated by a Toe-to-finger Transfer and the other with a Myo-electric Hand Prosthesis – A Case Report of Bilateral Hand Amputation –

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A 45-year old male patient suffered mutilation of his fingers except for the thumb in the right hand, and a crush injury of the whole left hand simultaneously while operating a rolling machine. The right hand was reconstructed with a double 2nd-toe implantation. After training his pinch motion in the right hand, a myoelectric prosthesis was attached to the left hand. He used his right hand for pinching task and the left hand for grasping task. His DASH score was 173 before functional reconstruction of the bilateral hands, and it was 84 at 5 years after treatment. A comparison was made concerning the functional results between the right hand reconstructed with the toe transfer and the left hand with the myoelectric prosthesis in order to discuss the prognosis for each treatment.

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