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The case of patients with amputation of forearm on one side and arm on the other is particularly interesting to study because in this situation of handicap greater than a double amputation in forearm. We should bring a functional benefit to the patient with the transplant of forearm and this situation allows to have the best possible control to compare the result of the transplant of arm to that of forearm because it is realized at the same patient.
Amputation of both arms deprives patients of an elbow what establishes a major factor of limitation of autonomy and makes patients totally dependent for the realization of the essential gestures of the current life requiring the prehension (dress, dressing, food, hygiene of the elimination). The various equipments are not always adaptable and usable. Psychologically, an amputation in arm is unanimously considered as an infringement very badly accepted of the physical integrity and establishes a major handicap factor of family, professional and social exclusion.
The results of this study should allow a better appreciation of indications and modalities of care of biamputed patients with at least one lesion level above the elbow.
This clinical research will determine the potential place of a reconstructive surgery as allograft in biamputed patients on the basis of functional results and assessment of disorders of the body schema perception.
Enrollment
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Inclusion criteria
Men and women
Bilateral amputation of upper limb regardless of the nature of the injury (crush, tearing, cutting, infectious such as purpura fulminans...) except for tumor diseases
Lesion level:
Period since amputation of at least 6 months
Failure of all currently available (including the prosthetic) support modalities
Psychological maturity: absence of serious disorder of the personality or chronic disorders of mood reported by psychiatrists of the team using tests for the assessment of personality, committed and voluntary patients
Signature of the free and informed consent form
Exclusion criteria
Primary purpose
Allocation
Interventional model
Masking
5 participants in 1 patient group
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Central trial contact
Lionel BADET, MD, PhD; Marine DUPUIS, CRA
Data sourced from clinicaltrials.gov
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