title: [Management of bilateral hand amputations in low-resources setting: the Krukenberg procedure is still indicated].
abstract: Double hand amputation leads to complete loss of prehensive function and touch sense. Patients become totally dependent on others for survival. In developing countries, where sophisticated myoelectric prosthesis are not available, the Krukenberg procedure gives to these patients elementary self-sufficiency for daily-life. This procedure can be performed in low-resources setting and requires minimal rehabilitation. However, patient selection and preparation are critical because of an unattractive aesthetic aspect which limits this operation use in occidental countries.
authors.affiliation: Hôpital d'instruction des armées Desgenettes, 108 boulevard Pinel, 69003 Lyon.
authors.forename: L
authors.initials: L
authors.lastname: Mathieu
authors.forename: C
authors.initials: C
authors.lastname: Gaillard
authors.forename: F
authors.initials: F
authors.lastname: Mottier
authors.forename: A
authors.initials: A
authors.lastname: Bertani
authors.forename: F
authors.initials: F
authors.lastname: Rongiéras
authors.forename: F
authors.initials: F
authors.lastname: Chauvin
mesh_terms: D000203:Activities of Daily Living; D000671:Amputation, Surgical; D000672:Amputation Stumps / Q000601:surgery*; D000674:Amputees / Q000534:rehabilitation; D003906:Developing Countries; D006225:Hand / Q000601:surgery; D006801:Humans; D019637:Orthopedic Procedures / Q000379:methods*
keywords: Krukenberg; amputation; developing countries; hand; low-resource