Prosthetic rehabilitation in traumatic upper limb amputees (an Indian perspective).
BACKGROUND
Rehabilitation of traumatic upper limb amputees depends on a multitude of factors. This study attempts to evaluate the success of prosthetic rehabilitation in this group of patients, determine the reasons for non-compliance and find ways to increase prosthetic acceptance.


METHODS
The prosthetic rehabilitation status of 71 traumatic upper-limb amputees was assessed by a questionnaire and clinical review. A Prosthetic Rehabilitation Scoring (PRS) system, based on patient satisfaction, prosthetic usage and activity level, was devised to quantify the success of rehabilitation.


RESULTS
The rehabilitation was found to be equally good in above-elbow and below-elbow amputees. The delay in fitting of the prosthesis had no correlation with successful rehabilitation. Chances of successful rehabilitation decreased when the prosthesis fitting was done in older patients. The main reasons for inadequate use of the prosthesis were repeated mechanical failure and the high cost of repair and replacement.


CONCLUSIONS
In order to achieve an optimum benefit for the patient in a developing country, the prosthesis should be durable, inexpensive and have a low cost of maintenance.
Bhaskaranand
Kumar
K
Hand and Microvascular Surgery Unit, Department of Orthopaedics, Kasturba Medical College, 576119 Manipal, Karnataka, India. drbhaskaranand@yahoo.com
Bhat
Anil K
AK
Acharya
K Narayana
KN
D000328:Adult; D000673:Amputation, Traumatic / Q000534:rehabilitation*; D000674:Amputees / Q000534:rehabilitation*; D001186:Artificial Limbs; D006801:Humans; D008297:Male; D008875:Middle Aged; D017755:Prosthesis Fitting; D016896:Treatment Outcome