2026-05-27T13:07:30Zhttps://riubu.ubu.es/oai/request

oai:riubu.ubu.es:10259/117192026-05-27T00:05:33Zcom_10259_3725com_10259_5086com_10259_2604col_10259_3726

Bueno de la Fuente, Andrea Victoria Núñez Rodríguez, Sandra Fuente Anuncibay, Raquel de la Estefanía Díez, Miguel Eugenio Nevado Sánchez, Endika González Bernal, Jerónimo 2026-05-26T07:36:26Z 2026-05-26T07:36:26Z 2026-04 https://hdl.handle.net/10259/11719 10.3389/fresc.2026.1648169 2673-6861 Background: Upper limb replantation, while surgically complex, demands a multidimensional assessment of functional recovery, subjective satisfaction, and quality of life beyond mere anatomical survival of the limb. Objective: This study aimed to evaluate the functional outcomes, health-related quality of life, and perceived satisfaction of patients after upper limb replantation, with special attention to the impact of surgical reintervention, rehabilitation, and return to work. Methods: We conducted a cross-sectional observational study including 62 patients treated at a referral center between 2021 and 2023. Patients were assessed using validated instruments (DASH, SF-12, Russell test) alongside clinical and sociodemographic data. Statistical analyses explored associations between reintervention, functionality, quality of life, and work reintegration. Results: Nearly half of the patients required reintervention, which was significantly associated with greater functional disability in occupational and recreational contexts and lower subjective use of the hand in daily activities. Return to work was linked to better functional scores, although quality of life measures showed limited association with functional outcomes. Conclusion: Surgical reintervention and failure to return to work are key factors associated with perceived disability after upper limb replantation. These findings highlight the need for individualized, multidisciplinary follow-up protocols that integrate functional, psychological, and occupational rehabilitation strategies to optimize patient recovery. application/pdf eng Frontiers Media Frontiers in Rehabilitation Sciences. 2026, V. 7 Atribución 4.0 Internacional http://creativecommons.org/licenses/by/4.0/ info:eu-repo/semantics/openAccess Disability perception Functional recovery Quality of life Rehabilitation outcomes Return to work Upper limb replantation Brazos-Cirugía Personas con discapacidad Incapacidad laboral Arm-Surgery People with disabilities Sick leave Upper limb replantation: functional disability and quality of life challenges info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Frontiers in Rehabilitation Sciences 7