RT info:eu-repo/semantics/article
T1 Upper limb replantation: functional disability and quality of life challenges
A1 Bueno de la Fuente, Andrea Victoria
A1 Núñez Rodríguez, Sandra
A1 Fuente Anuncibay, Raquel de la
A1 Estefanía Díez, Miguel Eugenio
A1 Nevado Sánchez, Endika
A1 González Bernal, Jerónimo
K1 Disability perception
K1 Functional recovery
K1 Quality of life
K1 Rehabilitation outcomes
K1 Return to work
K1 Upper limb replantation
K1 Brazos-Cirugía
K1 Arm-Surgery
K1 Personas con discapacidad
K1 People with disabilities
K1 Incapacidad laboral
K1 Sick leave
AB 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.
PB Frontiers Media
YR 2026
FD 2026-04
LK https://hdl.handle.net/10259/11719
UL https://hdl.handle.net/10259/11719
LA eng
DS Repositorio Institucional de la Universidad de Burgos
RD 27-may-2026