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[骨整合作为将截肢假体直接稳定于骨骼的一种方法]

[Osseointegration as a method of direct stabilization of amputation prostheses to the bone].

作者信息

Rochmiński Robert, Sibński Marcin, Synder Marek

机构信息

Zakład Biomechaniki i Zaopatrzenia Protetyczno-Ortopedycznego, Uniwersytet Medyczny w Łodzi.

出版信息

Chir Narzadow Ruchu Ortop Pol. 2011 Jan-Feb;76(1):36-40.

Abstract

This article summarizes important advantages, disadvantages and the process of treatment of patients after lower limb amputation on the level of the femur, with osseointegrated prosthesis. In the process of treatment bone-integrated material is implanted to the femur, with allows for structural and functional connection between live tissue and the prosthesis. This solution allows the patient for easy usage and direct steerage of the prosthesis, transferring of body weight to the floor and detection of sensation in the moment of contact between prosthesis and the ground. Osseointegrated prostheses in the femur gives the opportunity not to use the traditional solutions and socket-related problems as: mobility difficulties, skin sores, rush, pain during weight bearing, temporary changes of the stump volume, difficulty donning the prosthesis, unreliability of prosthesis being securely suspended. Osseointegration is possible even in cases, when quality of skin and short stump enables to use the traditional prosthetic socket. It is used after lower and upper limbs amputations. This kind of prosthetic solutions has some disadvantages and limitations. It is expensive and demanding. It can be used in cooperative patients, who take active part in the process of implantation, rehabilitation and in future usage if the prosthesis.

摘要

本文总结了股骨水平下肢截肢患者使用骨整合假体后的重要优缺点及治疗过程。在治疗过程中,将骨整合材料植入股骨,实现活组织与假体之间的结构和功能连接。这种解决方案使患者能够轻松使用和直接操控假体,将体重转移到地面,并在假体与地面接触时检测感觉。股骨骨整合假体提供了不使用传统解决方案及与接受腔相关问题的机会,如:行动困难、皮肤溃疡、皮疹、负重时疼痛、残端体积的临时变化、穿戴假体困难、假体牢固悬吊的不可靠性。即使在皮肤质量和残端较短使得能够使用传统假肢接受腔的情况下,骨整合也是可行的。它用于下肢和上肢截肢后。这种假肢解决方案有一些缺点和局限性。它昂贵且要求高。它可用于积极参与植入、康复及假体未来使用过程的合作患者。

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