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Current and emerging prostheses for partial hand amputation: A narrative review

Current and emerging prostheses for partial hand amputation: A narrative review INTRODUCTIONApproximately 2 million people in the United States are currently living with limb loss, with 35% involving upper limb loss.1 It is estimated that 3.6 million individuals are expected to live with amputation by 2050.1 Finger amputation represents the highest percentage (78%) of upper limb amputations reported on hospital discharges.2 Most amputations involve single digits, with the index, ring, and long fingers accounting for 75% and the thumb 16%.3 Epidemiological studies show that the number of partial hand amputations per year is 1 in every 18,000 to 20,000 individuals.4 Other epidemiological data estimate that 90% of the 20,000 new cases of upper limb loss or deficiency each year occur at or distal to the wrist joint.2 This is mirrored in the military population, where 87% of upper limb amputations occurring in all active and reserve service members from 2000 to 2011 were distal to the wrist joint.5 Causes of partial hand amputation include trauma; accidents from power tool use,6,7 farming equipment,8 and snow blowers9; frostbite10; melanoma11,12; and osteomyelitis.13Partial hand amputation (amputation of digits or hands) is sometimes referred to as minor upper limb loss, but in our opinion, the use of the term “minor amputation” tends to minimize the http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png PM&R Wiley

Current and emerging prostheses for partial hand amputation: A narrative review

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References (61)

Publisher
Wiley
Copyright
© 2023 American Academy of Physical Medicine and Rehabilitation
ISSN
1934-1482
eISSN
1934-1563
DOI
10.1002/pmrj.12764
Publisher site
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Abstract

INTRODUCTIONApproximately 2 million people in the United States are currently living with limb loss, with 35% involving upper limb loss.1 It is estimated that 3.6 million individuals are expected to live with amputation by 2050.1 Finger amputation represents the highest percentage (78%) of upper limb amputations reported on hospital discharges.2 Most amputations involve single digits, with the index, ring, and long fingers accounting for 75% and the thumb 16%.3 Epidemiological studies show that the number of partial hand amputations per year is 1 in every 18,000 to 20,000 individuals.4 Other epidemiological data estimate that 90% of the 20,000 new cases of upper limb loss or deficiency each year occur at or distal to the wrist joint.2 This is mirrored in the military population, where 87% of upper limb amputations occurring in all active and reserve service members from 2000 to 2011 were distal to the wrist joint.5 Causes of partial hand amputation include trauma; accidents from power tool use,6,7 farming equipment,8 and snow blowers9; frostbite10; melanoma11,12; and osteomyelitis.13Partial hand amputation (amputation of digits or hands) is sometimes referred to as minor upper limb loss, but in our opinion, the use of the term “minor amputation” tends to minimize the

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PM&R – Wiley

Published: Mar 1, 2023

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