title: A reconstructed digit by transplantation of a second toe for control of an electromechanical prosthetic hand.
abstract: The treatment options for the loss of an entire human hand and part of the forearm are currently limited to the transplantation of toe(s) to the amputation stump or a Krukenberg's bifurcation hand, and using a cosmetic or functional prosthesis. The functional prosthetic hand, such as the prevailing myoelectrically controlled prosthetic hand, has an action accuracy that is affected by many factors. The acceptance rate of the three planes freedom myoelectronic hand by the patients was 46-90% because of poor function caused by the weakness of signal and strong external interference. In this report, the left second toe was transplanted to the patient's forearm amputation stump. Mandates from the brain are relayed by the action of this reconstructed digit, to control a special designed multidimension freedom electronic prosthetic hand. After rehabilitation and adaptation training, the correct recognition rate of the electronic prosthetic hand controlled by this reconstructed digit is a remarkable 100%.
authors.affiliation: Department of Orthopedic Surgery, Zhong Shan Hospital, Shanghai Medical University, Shanghai, China.
authors.forename: Zhong Wei
authors.initials: ZW
authors.lastname: Chen
authors.forename: Tian Pei
authors.initials: TP
authors.lastname: Hu
mesh_terms: D000328:Adult; D000673:Amputation, Traumatic / Q000601:surgery*; D001186:Artificial Limbs; D005260:Female; D005385:Fingers / Q000601:surgery*; D006225:Hand; D006230:Hand Injuries / Q000601:surgery*; D006801:Humans; D008866:Microsurgery; D011474:Prosthesis Design; D019651:Plastic Surgery Procedures; D014034:Toes / Q000637:transplantation*