Functional outcome of paediatric hand reimplantation with parents assisted physiotherapy during Covid 19 pandemic: Case report

Abstract

An amputated hand in a child is considered an absolute indication for re-implantation. A key contributor to good functional outcome is the level of amputation, type of injury, warm ischemic time as well hand rehabilitation services. The role of parents in rehabilitation services has not been well defined. In our case report, we share the functional outcome of a six year old child that was successfully re-implanted followed by multiple sessions of physiotherapy during the Covid 19 pandemic period done by the parents. The functional outcomes for motor and sensory were closely comparable to the non-injured hand at one year of follow up. Parents should play an active role in rehabilitation of paediatric patients after re-implantation. They provide a supplementary approach to rehabilitation that could be cheaper and effective in ensuring good functional outcome.

Keywords

• Paediatric
• Hand re-implantation
• Parents assisted rehabilitation