Al Muderis Munjed, Bosley Belinda A, Florschutz Anthony V, Lunseth Paul A, Klenow Tyler D, Highsmith M Jason, Kahle Jason T
The Australian School of Advanced Medicine, Macquarie University, Macquarie, Australia; School of Medicine, University of Notre Dame Australia, Auburn, Australia; Norwest Private Hospital, Bella Vista, Australia.
Norwest Private Hospital, Bella Vista, Australia.
Technol Innov. 2016 Sep;18(2-3):211-216. doi: 10.21300/18.2-3.2016.211.
Osseointegration (OI) is a bone-anchoring procedure that allows the direct skeletal attachment of a prosthesis through the use of an implant. Transcutaneous OI implants are similar to subcutaneous intramedullary joint implants with some exceptions. Particularly, OI implants are inserted at the distal aspect of the femur, while intramedullary implants are inserted at the proximal aspect of the femur. In this report, an additional adaptation of the radiographic zonal analysis used for intramedullary implants, known as Gruen zones, is introduced to include OI implants of extremity prosthetics. Radiographic zonal analyses and interpretations are proposed. Gruen zones are used for intramedullary implants, which are generally inserted from the proximal aspect of the bone. OI extremity implants are inserted from the distal end of the bone. Therefore, the zonal analysis is inverted. A radiographic zonal analysis has been introduced by the Osseointegration Group of Australia (OGA). This analysis is needed specifically for the clinical evaluation of extremity OI, as significant changes to the bone and OI implant have been reported and need to be clinically described. A classification technique is necessary for establishing treatment guidelines for the extremity osseointegrated implant. The OGA Zonal analysis addresses this need by adapting a common reference standard to osseointegration of the extremity amputee.
骨整合（OI）是一种骨锚固手术，通过植入物实现假体与骨骼的直接连接。经皮骨整合植入物与皮下髓内关节植入物相似，但也有一些例外。特别是，骨整合植入物插入股骨远端，而髓内植入物插入股骨近端。在本报告中，引入了一种用于髓内植入物的放射学分区分析的额外改编方法，即Gruen分区，以纳入肢体假肢的骨整合植入物。提出了放射学分区分析和解释方法。Gruen分区用于髓内植入物，通常从骨骼近端插入。肢体骨整合植入物从骨骼远端插入。因此，分区分析是颠倒的。澳大利亚骨整合小组（OGA）引入了一种放射学分区分析方法。这种分析对于肢体骨整合的临床评估尤为必要，因为已经报道了骨骼和骨整合植入物的显著变化，需要进行临床描述。对于建立肢体骨整合植入物的治疗指南，一种分类技术是必要的。OGA分区分析通过将一个通用参考标准应用于肢体截肢者的骨整合来满足这一需求。
