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Rehabilitation Following Replantation in the Upper Extremity

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Extremity Replantation

Abstract

Following replantation at any level, successful return of function relies not only on survival of the extremity and healing of the tissues, but also on the dynamic return of motion. Integration of the hand therapist, surgeon, and patient will optimize outcomes. This chapter focuses on the rehabilitation process with suggested protocols and considerations for the various levels of upper extremity replantation. The hand therapist’s role is to collaborate with the treatment team while utilizing clinical reasoning and problem-solving skills to find the right balance between protecting healing structures and implementing early controlled motion in order to maximize the patient’s recovery and outcomes. The therapist also has a role in coaching the patient to use adaptive strategies to maintain function while awaiting motor and sensory return to improve use of the affected hand.

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Author information

Authors and Affiliations

  1. Occupational Therapy Department, University of Wisconsin Hospital and Clinics, Hand and Upper Extremity Clinic, Madison, WI, USA

    Sarah A. Ezerins OTR, MS

  2. Department of Occupational Therapy, University of Wisconsin Hospital and Clinics, Hand and Upper Extremity Clinic, Madison, WI, USA

    Carol J. Harm BS, OT, OTR, CHT

  3. Division of Plastic Surgery, University of Wisconsin Hospital and Clinics, Madison, WI, USA

    Steve J. Kempton MD & A. Neil Salyapongse MD

Authors
  1. Sarah A. Ezerins OTR, MS
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  2. Carol J. Harm BS, OT, OTR, CHT
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  3. Steve J. Kempton MD
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  4. A. Neil Salyapongse MD
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Corresponding author

Correspondence to A. Neil Salyapongse MD .

Editor information

Editors and Affiliations

  1. Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Wisconsin, Madison, Wisconsin, USA

    A. Neil Salyapongse

  2. Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Wisconsin, Madison, Wisconsin, USA

    Samuel O. Poore

  3. Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Wisconsin, Madison, Wisconsin, USA

    Ahmed M. Afifi

  4. Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Wisconsin, Madison, Wisconsin, USA

    Michael L. Bentz

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Ezerins, S.A., Harm, C.J., Kempton, S.J., Salyapongse, A.N. (2015). Rehabilitation Following Replantation in the Upper Extremity. In: Salyapongse, A., Poore, S., Afifi, A., Bentz, M. (eds) Extremity Replantation. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-7516-4_15

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  • DOI: https://doi.org/10.1007/978-1-4899-7516-4_15

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  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4899-7515-7

  • Online ISBN: 978-1-4899-7516-4

  • eBook Packages: MedicineMedicine (R0)

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