Unit of Lecco, CNR ICMATE, National Research Council, Lecco, Italy.
INAIL Centro Protesi, Bologna, Italy.
Orthop Surg. 2022 Jun;14(6):1019-1033. doi: 10.1111/os.13296. Epub 2022 May 7.
Digital trauma amputations and digital agenesis strongly affect the functionality and aesthetic appearance of the hand. Autologous reconstruction is the gold standard of treatment. Unfortunately, microsurgical options and transplantation procedures are not possible for patients who present contraindications or refuse to undergo transplantation from the toe (e.g. toe-to-thumb transplantation). To address these issues, osseointegrated finger prostheses are a promising alternative. The functional assessments registered during follow-up confirmed the promising outcomes of osseointegrated prostheses in the treatment of hand finger amputees. This review outlines (a) a detailed analysis of osseointegrated finger metallic components of the implants, (b) the surgical procedures suggested in the literature, and (c) the functional assessments and promising outcomes that demonstrate the potential of these medical osseointegrated devices in the treatment of finger amputees.
数字创伤性截肢和数字发育不全对手的功能和美观有很大影响。自体重建是治疗的金标准。不幸的是，对于存在禁忌或拒绝从脚趾（例如，脚趾到拇指移植）进行移植的患者，显微外科选择和移植手术是不可能的。为了解决这些问题，骨整合手指假肢是一种很有前途的选择。在随访期间记录的功能评估证实了骨整合假肢在手手指截肢患者治疗中的良好效果。本综述概述了（a）对植入物的骨整合手指金属部件的详细分析，（b）文献中建议的手术程序，以及（c）功能评估和有前途的结果，这些结果证明了这些医学骨整合设备在手手指截肢患者治疗中的潜力。
