Article
Current state of knowledge of bionic prosthesis supply – a multicenter and multi-discipline inquiry Running Head: Current state of knowledge of bionic prosthesis supply
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Authors
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Seyed A. Alawi
- Medizinische Hochschule Hannover, Department of Plastic, Aesthetic, Hand and Reconstructive Surgery, Hannover, Deutschland
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Ramin Ipaktchi
- Medizinische Hochschule Hannover, Department of Plastic, Aesthetic, Hand and Reconstructive Surgery, Hannover, Deutschland
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Sören Könneker
- Medizinische Hochschule Hannover, Department of Plastic, Aesthetic, Hand and Reconstructive Surgery, Hannover, Deutschland
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Tobias R. Mett
- Medizinische Hochschule Hannover, Department of Plastic, Aesthetic, Hand and Reconstructive Surgery, Hannover, Deutschland
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Jörn W. Kuhbier
- Medizinische Hochschule Hannover, Department of Plastic, Aesthetic, Hand and Reconstructive Surgery, Hannover, Deutschland
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Nils Neubert
- Medizinische Hochschule Hannover, Department of Plastic, Aesthetic, Hand and Reconstructive Surgery, Hannover, Deutschland
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Sarah Strauß
- Medizinische Hochschule Hannover, Department of Plastic, Aesthetic, Hand and Reconstructive Surgery, Hannover, Deutschland
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Peter M. Vogt
- Medizinische Hochschule Hannover, Department of Plastic, Aesthetic, Hand and Reconstructive Surgery, Hannover, Deutschland
| Published: | August 16, 2017 |
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Outline
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Purpose: The development of upper extremity prosthetic replacement after amputation has been undergoing rapid progress. The technological advances in this field may change our current intention of reconstruction and lead to reconsideration of extensive procedures.
Methods: In this multicenter and multi-discipline inquiry, we anonymously evaluated the current knowledge of residents, consultants and students in departments for plastic surgery/hand surgery, plastic surgery only, orthopedics and trauma surgery/hand surgery in German hospitals. An anonymized knowledge classification was set in Grade 1 (100%-85%), Grade 2 (84%-70%), Grade 3 (69%-55%), Grade 4 (54%-40%), Grade 5 <40% correct answer selection. Furthermore, an anonymized statistical evaluation was done regarding self-perception of knowledge about bionic prosthesis supply, an evaluation about the ability of surgical indication and ability to surgical preparation for bionic supply. Finally, an evaluation was done about a subjective perception of outcome of complex hand injuries and multi-fascicular plexus brachialis damages and re-evaluation to supply with bionic prostheses.
Results: We evaluated 105 questionnaires. The results show the best correct answer selection with a maximum of 67%±13% (p=0.05) in plastic surgery and hand surgery departments (Grade 3). In departments with focus on hand surgery the correct answer selection was significantly higher. Generally, the results show an average to insufficient knowledge of specialists regarding bionic supply. Students seem not to be taught about current developments and technological details. Nevertheless, there is a knowledge increase from students to residents and finally to specialists. Self-perception, ability of surgical indication and ability for surgical preparation were evaluated as not sufficient, significantly. Additionally, the perception of the outcome of complex hand injuries and plexus brachialis lesions seem not to be satisfying and gives the feeling to improve therapy.
Conclusion: The current inquiry suggests that there is a significant deficit in knowledge and practicability to treat patients with modern prosthesis like bionic supply. Even further tools like exoskeletons are not described. Generally, there is a perception of insufficient results regarding complex hand injuries and complex plexus brachialis lesions raising the need for modern reconstruction.
