Department of Orthopaedic Surgery, Macquarie University Hospital, Sydney, New South Wales, Australia.
Department of Orthopaedics, The Royal Brisbane Hospital, Brisbane, Victoria, Australia.
JBJS Rev. 2020 Mar;8(3):e0043. doi: 10.2106/JBJS.RVW.19.00043.
Osseointegrated prostheses provide a rehabilitation option for amputees offering greater mobility, better satisfaction, and higher use than traditional socket prostheses. There are several different osseointegrated implant designs, surgical techniques, and rehabilitation protocols with their own strengths and limitations. The 2 most prominent risks, infection and periprosthetic fracture, do not seem unacceptably frequent or insurmountable. Proximal amputations or situations leading to reduced mobility are exceptionally infrequent. Osseointegrated implants can be attached to advanced sensory and motor prostheses.
骨整合假体为截肢者提供了一种康复选择,与传统的套接式假体相比,它们提供了更大的活动能力、更好的满意度和更高的使用率。有几种不同的骨整合植入物设计、手术技术和康复方案,它们各自具有优势和局限性。两个最突出的风险,感染和假体周围骨折,似乎并不频繁或不可逾越。近端截肢或导致活动能力降低的情况极为罕见。骨整合植入物可以连接到先进的感觉和运动假肢上。