截肢者的骨整合:假肢直接骨骼附着的现状

Jordan G. Tropf , Benjamin K. Potter
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引用次数: 0

摘要

截肢者的骨整合(OI)是指将末端假体直接经皮连接到骨骼上。OI曾经是概念设计和案例报告的职权范围,在过去十年中,其频率和相关进展显著增加。令人信服的证据表明,患者报告的结果和生活质量以及经股OI后的功能结果测量和性能测试都得到了持续和显著的改善。截肢虽然轻微并发症仍然频繁且可控制,但据报道,严重并发症的发生频率可接受且逐渐降低,这表明OI对许多外科医生和许多肢体丧失患者来说都是一个现实而合理的考虑因素。在此,我们回顾了截肢骨整合的现状,包括不同的植入物和技术、结果、并发症和辅助程序,并讨论了未来的方向和有前景的技术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Osseointegration for amputees: Current state of direct skeletal attachment of prostheses

Osseointegration (OI)

for amputees refers to the direct, transcutaneous attachment of a terminal prosthesis to bone. Once the purview of conceptual designs and case reports, OI has dramatically increased in frequency and associated advancements over the last decade. Compelling evidence now demonstrates consistent and significant improvements in patient reported outcomes and quality of life as well as functional outcome measures and performance testing following OI for transfemoral.

Amputations

While minor complications remain both frequent and manageable, major complications have been reported at an acceptable and gradually decreasing frequency, suggesting that OI is a realistic and reasonable consideration for both many surgeons and many patients living with limb loss. Herein, we review the current state of the art for amputation osseointegration including different implants and techniques, outcomes, complications, and adjunctive procedures, as well as discussing future directions and promising technologies on the near horizon.

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