Adapted knife for partial hand-amputation patients.

I ndependent living skills were impaired in a 26-year-old woman who suffered extensive right, dominant hand burns, resulting in the amputation of the right index finger at the proximal interphalangeal (PIP) joint, and the middle, ring, and little fingers at the metacarpal phalangeal (Mep) joints. A small portion of the right thumb tip had also been removed. The left hand is normal. At the time of her referral, 7 months post-inj ury, her plastic surgical procedures were nearly completed, and she had been seen regularly by other therapists in regard to increasing the functional motions of her thumb, wrist,and palmarareas. The index MCP was permanently pinned in full extension. Active range o[ motion of the th umb was iimited in add uction to I cen timeter from the base of the inde,' fi nger. Opposition movements were stronger between thumb and the base of the ring finger, but also lacked].3 centimeters of touching. The entire palmar surface had been grafted and had a lack of sensation, except to deep pressure.