[The course after amputation of upper extremities with special reference to the use of prostheses and social conditions].

Sixty-six patients with upper limb amputations were followed-up in their homes. The object of this article was to assess the course as regards the prosthesis, the extent to which this was employed, and to investigate the factors which influence the type of prosthesis and the social conditions of the patient. The amputees were divided into four groups. Twenty-six employed an active prosthesis for more than eight hours daily, six for less than eight hours daily, 16 employed passive prostheses and 18 did not employ prostheses. 65% of the amputations were performed on account of accidents. A group of six were submitted to amputation as part of the treatment of irreversible brachial plexus lesion. The investigation demonstrated the significant importance of the year of amputation. This is explained by late development of the prosthesis supply and the possibilities for rehabilitation and the legislative conditions. Great differences were observed between the prosthetic conditions at the primary equipment and at follow-up investigation. The type of prosthesis employed depended on loss of the dominant arm, prostheses available and the general condition of the individual patient. There were differences in the mental reactions for patients with planned and traumatic amputations. It is recommended that this patient group should be ensured rapid fitting with prostheses by an experienced prosthesis and adequate rehabilitation within a geographically manageable district. This patient group requires team therapy and this functions best when the relevant staff are experienced with this type of patient.