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Rehabilitation Practice and Science

Translated Title

腳趾移植重建手部功能之復健成效：問卷調查報告

Abstract

The functional outcome of 34 cases of digital ampution with toe-to-digit reconstruction in Chang-Gung Memorial hospital, from Jan 1984 to Jan 1987, were evaluated by questionaires.The age of the patients were from 16 to 48 years old, with male in majority (82.3%). Nearly all of them were occupational injury. There were 20 cases with right hand injury, most of them should change hand dominance even after reconstruction surgery (63.2%). In the patients having single thumb loss, whether the reconstruction surgery was used by big toe or second toe, there were no difference in functional deficits of precision pinch (85.7%) and object grasp (71.4%). As for the sensation of the new digit, 76.5% cases had hypesthesia, while 11.8% presented with severe cold intolerance. Most of the patients usually used their reconstruction hand during working (58.8%), but should change to easier job (73.5%). The self acceptance and social acceptance were 85.9% and 76.5% without sex difference. The improvement or functional outcome will be expected by better surgical procedures, rehabilitation programs and psychosocial supports.

Language

Traditional Chinese

First Page

27

Last Page

34

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