Upper Extremity Amputation and Prosthetics Care Across the Active Duty Military and Veteran Populations

Phys Med Rehabil Clin N Am. 2019 Feb;30(1):73-87. doi: 10.1016/j.pmr.2018.08.011. Epub 2018 Oct 31.

Abstract

The hand and arm are exceptionally dexterous, exquisitely sensitive, and proficient in performing tasks and functions. Given the invaluable functions of the upper extremity in daily life, replacement of a missing limb through prosthetic substitution is challenging. Prosthetic and rehabilitation needs of injured Service members from recent military conflicts have brought upper extremity amputation to the forefront, which has led to an increase in attention and resource allocation. This article provides an overview of the care of the upper extremity amputee including surgical considerations, prosthetic design and fitting, and preprosthetic and post-prosthetic rehabilitation considerations.

Keywords: Upper extremity amputation; Upper extremity amputation rehabilitation; Upper extremity amputation surgical considerations; Upper extremity osseointegration; Upper extremity prosthesis.

Publication types

  • Review

MeSH terms

  • Amputation, Surgical / methods
  • Amputation, Surgical / rehabilitation*
  • Amputees / rehabilitation*
  • Artificial Limbs*
  • Humans
  • Military Personnel*
  • Prosthesis Design
  • Upper Extremity / surgery
  • Veterans*