3-4-5 finger amputations at MCP
Schafer, Kristin
Description
Collection
Title:
3-4-5 finger amputations at MCP
Creator:
Schafer, Kristin
Date:
1/8/2016
Text:
Good Morning listers and Happy New Year!
I had the privilege of meeting a gentleman yesterday who suffered a crush injury to his hand and forearm years ago. After multiple surgeries he ended up with only his thumb and index finger. His index finger is fused at the MCP and we are currently referring him for hand therapy for his PIP extension range. Unfortunately, he has a developing PIP contracture and only has about 65-80 degrees range of flexion at the PIP.
Going forward, if he can achieve a more extended position (as well as a more actively functional range)of this phalanx, he is interested in a myo replacement for his three fingers to improve his grip. Having never done any myo at this level, I come looking to the list for socket design ideas, component suggestions, opinions of myo vs passive, troubleshooting, etc. I have begun searching the web and have seen a few designs on Touch Bionics' website, but would like to hear from those who have built these types of prostheses in the past and could share your thoughts. Please lend any info you have time to share. I would love to see any photos you may have of existing prostheses as well.
Thanks everyone,
Kristin
Kristin Schafer, B.Sc. (Kin.), C.P. (c)
Rehabilitation Engineering
Health Sciences North- Horizon Sante-Nord
41 Ramsey Lake Rd.
Sudbury, ON
P3E 5J1
(705) 523-7100 x3176
Health Sciences North's vision is to be globally recognized for patient-centred innovation.
I had the privilege of meeting a gentleman yesterday who suffered a crush injury to his hand and forearm years ago. After multiple surgeries he ended up with only his thumb and index finger. His index finger is fused at the MCP and we are currently referring him for hand therapy for his PIP extension range. Unfortunately, he has a developing PIP contracture and only has about 65-80 degrees range of flexion at the PIP.
Going forward, if he can achieve a more extended position (as well as a more actively functional range)of this phalanx, he is interested in a myo replacement for his three fingers to improve his grip. Having never done any myo at this level, I come looking to the list for socket design ideas, component suggestions, opinions of myo vs passive, troubleshooting, etc. I have begun searching the web and have seen a few designs on Touch Bionics' website, but would like to hear from those who have built these types of prostheses in the past and could share your thoughts. Please lend any info you have time to share. I would love to see any photos you may have of existing prostheses as well.
Thanks everyone,
Kristin
Kristin Schafer, B.Sc. (Kin.), C.P. (c)
Rehabilitation Engineering
Health Sciences North- Horizon Sante-Nord
41 Ramsey Lake Rd.
Sudbury, ON
P3E 5J1
(705) 523-7100 x3176
Health Sciences North's vision is to be globally recognized for patient-centred innovation.
Citation
Schafer, Kristin, “3-4-5 finger amputations at MCP,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 2, 2024, https://library.drfop.org/items/show/237927.
