[Functional and socioeconomic outcome of inpatient rehabilitation of patients with complex hand injuries].
OBJECTIVE
Evaluation of functional outcome and socio-economic results of patients with complex hand injuries after inpatient rehabilitation.


METHODS
In a prospective investigation 36 patients with complex hand injuries received an intensive therapy regime under inpatient conditions. In all patients functional parameters of the hand (total active range of motion, palm to palm distance, spread between thumb and index finger, spread between thumb and little finger) and the score of Buck-Gramcko were registered initially and at the end of inpatient rehabilitation. Socio-economic data (kind of discharge, job reintegration, further treatment) were documented as well.


RESULTS
The total active range of motion could be improved from 36% to 69%, spread D1-D5 from 18.5 to 20.7 cm and spread D1-D2 from 13.9 to 15.6 cm. The palp to palm distance of all fingers was reduced from 4.6 cm to 2.3 cm. The Buck-Gramcko score of all injured fingers improved from 4.2 points (poor) at admission, to 11.8 points (good) at discharge, At the end of inpatient rehabilitation 18 patients could return to their job either gradually or on full-time.


CONCLUSIONS
Even patients with complex hand injuries, good functional results could be achieved by an intensive inpatient rehabilitation characterised by close medical supervision and guidance and tight clinical controls.
Peters
K M
KM
Orthopädische Klinik der Rhein-Sieg-Klinik Nümbrecht.
Diepenbruck
E
E
Frank
A
A
Ingianni
G
G
D000328:Adult; D003131:Combined Modality Therapy; D005260:Female; D005858:Germany; D006230:Hand Injuries / Q000534:rehabilitation*; D006801:Humans; D008297:Male; D010343:Patient Admission; D011446:Prospective Studies; D012047:Rehabilitation Centers; D012050:Rehabilitation, Vocational; D012959:Socioeconomic Factors; D016896:Treatment Outcome