Rehabilitation after forearm/hand replantation

Currently, the challenge of replantation of the upper limb after amputation has become an achievable and meticulously perfected reality in recent decades and is in constant evolution. The surgical option for replantation should take into account not only a comprehensive analysis of the viability of...

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Main Authors: Susana Rosa, Margarida Freitas, Afonso Pegado, Diogo Martins, Mário Moura
Format: Article
Language:English
Published: Wolters Kluwer Health - Lippincott Williams Wilkins 2021-01-01
Series:The Journal of the International Society of Physical and Rehabilitation Medicine
Subjects:
Online Access:http://www.jisprm.org/article.asp?issn=2349-7904;year=2021;volume=4;issue=4;spage=198;epage=200;aulast=Rosa
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author Susana Rosa
Margarida Freitas
Afonso Pegado
Diogo Martins
Mário Moura
author_facet Susana Rosa
Margarida Freitas
Afonso Pegado
Diogo Martins
Mário Moura
author_sort Susana Rosa
collection DOAJ
description Currently, the challenge of replantation of the upper limb after amputation has become an achievable and meticulously perfected reality in recent decades and is in constant evolution. The surgical option for replantation should take into account not only a comprehensive analysis of the viability of the replantation but fundamentally its potential for long-term functional recovery. We present the clinical case of a 40-year-old man, victim of a work accident, with cut trauma, which resulted in distal amputation of his right forearm. The warm ischemia time was 5 h, having been submitted to joint replantation surgery. Following the surgery, physical medicine and rehabilitation (PMR) was referred early, carrying out a sequential functional rehabilitation program. This work aims to emphasize the importance of the role of PMR in an early, careful, and extensive rehabilitation program, a fundamental factor in the functional recovery and long-term prognosis of these injuries and prevention of complications.
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spelling doaj.art-cdfc8679a93041cfa0f43111ad62ddfe2024-03-02T10:05:09ZengWolters Kluwer Health - Lippincott Williams WilkinsThe Journal of the International Society of Physical and Rehabilitation Medicine2589-94572021-01-014419820010.4103/JISPRM.JISPRM_59_21Rehabilitation after forearm/hand replantationSusana RosaMargarida FreitasAfonso PegadoDiogo MartinsMário MouraCurrently, the challenge of replantation of the upper limb after amputation has become an achievable and meticulously perfected reality in recent decades and is in constant evolution. The surgical option for replantation should take into account not only a comprehensive analysis of the viability of the replantation but fundamentally its potential for long-term functional recovery. We present the clinical case of a 40-year-old man, victim of a work accident, with cut trauma, which resulted in distal amputation of his right forearm. The warm ischemia time was 5 h, having been submitted to joint replantation surgery. Following the surgery, physical medicine and rehabilitation (PMR) was referred early, carrying out a sequential functional rehabilitation program. This work aims to emphasize the importance of the role of PMR in an early, careful, and extensive rehabilitation program, a fundamental factor in the functional recovery and long-term prognosis of these injuries and prevention of complications.http://www.jisprm.org/article.asp?issn=2349-7904;year=2021;volume=4;issue=4;spage=198;epage=200;aulast=Rosaamputationforearmhandrehabilitationreplantation
spellingShingle Susana Rosa
Margarida Freitas
Afonso Pegado
Diogo Martins
Mário Moura
Rehabilitation after forearm/hand replantation
The Journal of the International Society of Physical and Rehabilitation Medicine
amputation
forearm
hand
rehabilitation
replantation
title Rehabilitation after forearm/hand replantation
title_full Rehabilitation after forearm/hand replantation
title_fullStr Rehabilitation after forearm/hand replantation
title_full_unstemmed Rehabilitation after forearm/hand replantation
title_short Rehabilitation after forearm/hand replantation
title_sort rehabilitation after forearm hand replantation
topic amputation
forearm
hand
rehabilitation
replantation
url http://www.jisprm.org/article.asp?issn=2349-7904;year=2021;volume=4;issue=4;spage=198;epage=200;aulast=Rosa
work_keys_str_mv AT susanarosa rehabilitationafterforearmhandreplantation
AT margaridafreitas rehabilitationafterforearmhandreplantation
AT afonsopegado rehabilitationafterforearmhandreplantation
AT diogomartins rehabilitationafterforearmhandreplantation
AT mariomoura rehabilitationafterforearmhandreplantation