Reporte bote

A total of five distinctly different types of prostheses make up the armamentarium necessary to provide optimum and comprehensive management for the upper-limb amputee. These five procedures include (1) immediate/early postoperative prostheses, (2) preparatory/ training mechanical prostheses, (3) definitive mechanical prostheses, (4) preparatory/training electronic prostheses, and (5) definitiveelectronic prostheses.

CONCLUSIONS
Each of the three prostheses described previously has proved to have a very specific role in assisting the rehabilitation. Each system can provide a unique perspective on the potential solution and eventual outcome for each individual amputee. Although circumstances may not permit or necessitate the use of all basic procedures in every case, the use of two orthree of these techniques is almost always possible and indicated.

References:
1. Billock JN: The Northwestern University supracondylar suspension technique for below elbow amputations. Or-thot Prosthet 1972; 26:16-23.
2. Billock JN: Upper limb prosthetic management: Hybrid design approaches. Clin Prosthet Orthot 1985; 9:23-25.
3. Brenner CD: Funding sources for electronic upperlimb prostheses. Presented at the 1989 University of New Brunswick Myoelectric Controls Course and Symposium, Fredricton, New Brunswick, August 1989.
4. Brenner CD: Patient management experience with Myo-bock controls. Presented at the Scientific Program of the American Orthotic and Prosthetic Association, Quad Regional Meeting, Denver, June 1989.
5. Burkhalter WE, Mayfield G, CarmonaLS: The upper-extremity amputee: Early and immediate post-surgical prosthetic fitting. J Bone Joint Surg [Am] 1976; 58:46-51.
6. deBear P: Functional use of myoelectric and cable-driven prostheses. J Assoc Child Prosthet Orthot Clin 1988; 23:60-61.
7. deBear P: Myoelectric training for upper limb amputees. Presented at the 1989 University of New Brunswick Myoelectric Controls Course andSymposium, Fredricton, New Brunswick, August 1989.
8. Epps CH: Externally powered prostheses for children- 1984. Clin Prosthet Orthot 1985; 9:17-18.
9. Hubbard S: Myoelectrics for the acheiria and partial hand amputee. Presented at the Scientific Program of the 1987 Annual Meeting of the Association of Children's Pros-thetic-Orthotic Clinics, Vancouver, British Columbia, June 1987.10. Kritter AE: Current concepts review: Myoelectric prostheses. J Bone Joint Surg [Am] 1985; 67:654-657.
11. LeBlanc MA: Patient population and other estimates of prosthetics and orthotics in the U.S.A. Orthot Prosthet 1973; 27:38-44.
12. Malone JM, Childers SJ, Underwood J, et al: Immediate postsurgical management of upper extremity amputation: Conventional, electric and myoelectricprosthesis. Orthot Prosthet 1981; 35:1-9.
13. Malone JM, Fleming LL, Roberson J, et al: Immediate, early, and late postsurgical management of upper limb amputation. J Behabil Res Dev 1984; 21:33-41.
14. Michael JW: Upper limb powered components and controls: Current concepts. Clin Prosthet Orthot 1986; 10:66-77.
15. Millstein SG, Heger H, Hunter GA: Prosthetic use in adult upper limbamputees: A comparison of the body powered and electrically powered prostheses. Prosthet Orthot Int 1986; 10:27-34.
16. Morawa LG: Early intervention with immediate and early post-surgical prostheses. Presented at the Seminar on Myoelectronic Upper Extremity Prosthetics, Rehabilitation Institute, Detroit Medical Center, October 1987.
17. Nichol WR: Electronic touch controls forprostheses. J Assoc Child Prosthet Orthot Clin 1986; 21:33.
18. Northmore-Ball MD, Heger H, Hunter GA: The below elbow myo electric prosthesis with the hook and functional hand. J Bone Joint Surg [Br] 1980; 62:363-367.
19. Sauter W: Three-quarter-type Muenster socket. J Assoc Child Prosthet Orthot Clin 1985; 20:34.
20. Supan TJ: Transparent preparatory prostheses for upper limb amputation....