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Team Approach: Modern-Day Prostheses in the Mangled Hand

Delarosa, Matthew MD1; Gaston, R. Glenn MD1; Loeffler, Bryan MD1; Monroe, Brian CPO1; Rumfelt, Stacy CHT1

doi: 10.2106/JBJS.RVW.18.00162
Team Approach Review Articles

  • » Early prosthesis fitting enhances prosthesis acceptance and utilization.
  • » Establishing a relationship early with the team can improve surgical planning and expedite postoperative care.
  • » Targeted muscle reinnervation performed in the acute phases of care can greatly improve neuroma pain control and prosthesis functionality.
  • » There is a high rate of mental health issues at various times during treatment. A high suspicion for these problems is paramount in effective treatment.
  • » Peer-driven support has been instrumental in successful recovery in these devastating injuries.

1OrthoCarolina Hand Center, Charlotte, North Carolina

E-mail address for R.G. Gaston:

Investigation performed at the OrthoCarolina Hand Center, Charlotte, North Carolina

Disclosure: There was no source of external funding for this study. On the Disclosure of Potential Conflicts of Interest forms, which are provided with the online version of the article, one or more of the authors checked “yes” to indicate that the author had a relevant financial relationship in the biomedical arena outside the submitted work; “yes” to indicate that the author had a patent and/or copyright, planned, pending, or issued, broadly relevant to this work; and “yes” to indicate that the author had other relationships or activities that could be perceived to influence, or have the potential to influence, what was written in this work (

Copyright © 2019 by The Journal of Bone and Joint Surgery, Incorporated
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