Evans Andrew R, Tetsworth Kevin, Quinnan Stephen, Wixted John J
Orthopedic Trauma Service, Department of Orthopedics, The Warren Alpert School of Medicine, Brown University/Rhode Island Hospital, Providence, RI.
Trauma & Limb Reconstruction Unit, Department of Orthopaedics, Royal Brisbane Hospital, Herston, Australia.
OTA Int. 2024 Mar 11;7(2 Suppl):e326. doi: 10.1097/OI9.0000000000000326. eCollection 2024 Mar.
Transcutaneous osseointegration for amputees (TOFA) is an evolving technology that has the potential to revolutionize the interface between the amputee and their prosthesis, showing potential at many levels of amputation. While no amputation is without its challenges, TOFA requires a highly specialized prosthesis and a multidisciplinary team that includes specialized surgeons, physical therapists, wound care teams, and social workers who guide the amputee through surgery, postoperative rehabilitation, and the chronic wound care that goes into maintaining the prosthesis. The infrastructure required to facilitate care pathways that lead to reliable, successful outcomes are unique in each health care setting, including those in advanced health care systems such as the United States and Australia. This article details the emerging evidence supporting the use of this prosthetic interface design and many of the challenges that providers face when establishing programs to offer this type of care in the United States.
截肢者经皮骨整合技术（TOFA）是一项不断发展的技术，它有可能彻底改变截肢者与假肢之间的接口，在多个截肢层面都显示出潜力。虽然任何截肢都有其挑战，但TOFA需要高度专业化的假肢和一个多学科团队，该团队包括专业外科医生、物理治疗师、伤口护理团队和社会工作者，他们指导截肢者完成手术、术后康复以及维持假肢所需的慢性伤口护理。在每个医疗环境中，包括美国和澳大利亚等先进医疗系统中的医疗环境，促进护理途径以实现可靠、成功结果所需的基础设施都是独特的。本文详细介绍了支持使用这种假肢接口设计的新证据，以及美国提供者在建立提供此类护理的项目时面临的许多挑战。
