From the Division of Plastic Surgery and the Department of Orthopedics, Uniformed Services University-Walter Reed National Military Medical Center; and the Division of Plastic Surgery, Northwestern University Feinberg School of Medicine.
Plast Reconstr Surg. 2020 Dec;146(6):1394-1403. doi: 10.1097/PRS.0000000000007364.
Interest in amputation surgery has increased in conjunction with rising public awareness about amputee care. To date, plastic surgeons have impacted the quality of life and functional potential of amputees through novel strategies for sensory feedback and prosthesis control and various techniques for neuroma treatment and prevention. Osseointegration, which involves the direct skeletal attachment of a prosthesis to bone, has the ability to further maximize amputee function. There exists a critical role for plastic surgeons to help optimize techniques for extremity osseointegration through improved wound care and soft-tissue management. An overview of current osseointegrated prostheses and their associated limitations, and potential avenues through which plastic surgeons can help mitigate these challenges, are discussed in this article.
随着公众对截肢护理的认识不断提高，对截肢手术的兴趣也日益增加。迄今为止，整形外科医生通过新颖的感觉反馈和假肢控制策略以及各种神经瘤治疗和预防技术，对截肢者的生活质量和功能潜力产生了影响。骨整合术涉及将假体直接附着在骨骼上，有能力进一步最大限度地提高截肢者的功能。整形外科医生在通过改善伤口护理和软组织管理来帮助优化四肢骨整合技术方面发挥着至关重要的作用。本文讨论了当前的骨整合假体及其相关局限性，以及整形外科医生可以帮助减轻这些挑战的潜在途径。
