10.3205/GPRAS000007
Jokuszies, Andreas
Andreas
Jokuszies
Radtke, Christine
Christine
Radtke
Schwarze, Monika
Monika
Schwarze
Hadamitzky, Catarina
Catarina
Hadamitzky
Gutenbrunner, Christoph
Christoph
Gutenbrunner
Vogt, Peter M.
Peter M.
Vogt
Back to life – Exoskeletal finger-prosthesis in a semiprofessional boxer – limitations of reconstructive surgery in symbrachydactyly
German Medical Science GMS Publishing House
2012
JournalArticle
brachydactyly
syndactyly
congenital deformities
exoskeletal prostheses
610 Medical sciences; Medicine
2012-04-23
2012
en
urn:nbn:de:0183-gpras0000076
gpras000007
text/html
GMS German Plastic, Reconstructive and Aesthetic Surgery; 2:Doc05; ISSN 2193-7052
We report an unusual case of an 18-year-old female semiprofessional boxer presenting with finger and nail deformity of the right hand after symbrachydactyly separation in childhood in whom we performed exoskeletal prosthesis for aesthetic reasons.
Because of the complexity of finger deformities and limitation of surgical interventions exoskeletal prosthesis were performed.
To evaluate a potential improvement of finger dexterity we performed the Nine Hole Peg Test. This is a simple and commercially available upper extremity functional assessment instrument. To evaluate the quality of life we performed the Short Form 36-Item Health Survey (SF-36), a questionnaire designed to examine a person’s perceived health status.
The prosthesis provided an excellent aesthetic result and improvement of self-confidence. No functional improvement could be obtained in this special case as it is described in patients with finger amputations.
Especially in women malformations of the hand and fingers are often associated with psychological impairments and social isolation. In this case and after surgery in childhood exoskeletal prostheses provide a useful option to improve the aesthetical outcome as well as quality of life.
GMS German Plastic, Reconstructive and Aesthetic Surgery; 2:Doc05; ISSN 2193-7052