Bricker Jonathan T, Bagdady Kazimir R, Janes Lindsay E, Souza Jason M, Dumanian Gregory A, Ko Jason H
Division of Plastic & Reconstructive Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL.
Departments of Plastic and Reconstructive Surgery and Orthopedic Surgery, The Ohio State University Wexner Medical Center, Columbus, OH.
J Hand Surg Glob Online. 2025 Feb 7;7(2):368-375. doi: 10.1016/j.jhsg.2025.01.008. eCollection 2025 Mar.
Several factors have contributed to poor quality of life outcomes for upper-extremity amputees. In recent decades, the advancements in both surgical procedures and prosthetics have been aimed at both improving the function and quality of life of amputees. Targeted muscle reinnervation, regenerative peripheral nerve interfaces, agonist-antagonist myoneural interfaces, free tissue transfers, and limb transplantation are chief among the surgical options available for improved sensorimotor function in residual and prosthetic limbs. New technologies such as cuff electrodes, intraneural filaments, and various osseointegrated prosthesis systems are used either alone or in concert with these operative techniques. Procedural and technological advancements will continue to push the limits of functional restoration after upper-extremity limb loss.
有几个因素导致上肢截肢者的生活质量较差。近几十年来，外科手术和假肢的进步都旨在改善截肢者的功能和生活质量。靶向肌肉再支配、再生周围神经接口、主动肌-拮抗肌肌神经接口、游离组织移植和肢体移植是改善残肢和假肢感觉运动功能的主要手术选择。袖带电极、神经内细丝和各种骨整合假体系统等新技术可单独使用，也可与这些手术技术配合使用。程序和技术的进步将继续突破上肢截肢后功能恢复的极限。
