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Beitragstitel Transhumeral amputation in brachial plexus lesion patients. A multicenter case series.
Autoren
  1. Stijn de Joode Balgrist Universitätsklinik Vortragender
  2. Martijn Schotanus Zuyderland Medical Center
  3. Lodewijk van Rhijn Maastricht University Medical Center
  4. Steven Samijo Zuyderland Medical Center
Präsentationsform Poster
Themengebiete
  • A01 - Schulter/Ellbogen
Abstract Introduction: A flail limb can be the result of a traumatic complete brachial plexus lesion. An elective amputation has a place in the rehabilitation, however long-term follow-up is unknown. The aim of this study is to evaluate the outcome of this rare and life changing operation 10 years postoperatively.

Methods: 8 Patients with a mid-humeral amputation executed in 2 specialized medical centers were included. Psychological disorders were ruled out and all patients had a persisting whish for amputation. Postoperatively, the functional- and psychological outcome and the quality of life was evaluated with PROMs and standardized questionnaires (DASH, SIP-68, EQ-5D-5L and HADS).

Results: After 9.7 years follow-up 7 patients would undergo the operation again and were satisfied with the results. At latest follow-up the median DASH score was 37,3 (range 8,3-61,7), the median SIP-68 score was 6,5 (range 0-43) and the median HADS score was 3,0 (range 0-14) for anxiety and 3,0 (range 1-19) for depression. In the EQ-5D-5L patients had most difficulties in self-care, usual activities and pain/discomfort. The median overall health status was 69 (range 20-95).

Conclusion: A mid-humeral amputation has a place in the rehabilitation for traumatic complete brachial plexus lesion with satisfying long-term results. However, setting the right indication is essential.
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