Osseointegrated prostheses for rehabilitation following amputation
Identifieur interne : 000131 ( Main/Exploration ); précédent : 000130; suivant : 000132Osseointegrated prostheses for rehabilitation following amputation
Auteurs : Yan Li [Suède] ; Rickard Br Nemark [Suède, États-Unis]Source :
- Der Unfallchirurg [ 0177-5537 ] ; 2017.
Abstract
The direct attachment of osseointegrated (OI) prostheses to the skeleton avoids the inherent problems of socket suspension. It also provides physiological weight bearing, improved range of motion in the proximal joint, as well as osseoperceptive sensory feedback, enabling better control of the artificial limbs by amputees. The present article briefly reviews the pioneering efforts on extremity osseointegration surgeries in Sweden and the development of the OPRA (Osseointegrated Prostheses for the Rehabilitation of Amputees) program. The standard implant design of the OPRA system and surgical techniques are described as well as the special rehabilitation protocols based on surgical sites. The results of long-term follow-up for transradial, transhumeral, and thumb amputee operations are briefly reported including the prospective study of transfemoral amputees according to OPRA protocol. The importance of refinement on implant designs and surgical techniques based on the biomechanical analysis and early clinical trials is emphasized. Future aspects on osseointegration surgery are briefly described, including novel treatment options using implanted electrodes.
Url:
DOI: 10.1007/s00113-017-0331-4
PubMed: 28229193
PubMed Central: 5371647
Affiliations:
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xml:lang="fr">Suède</country><wicri:regionArea>Gothenburg</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff4">International Center for Osseointegration Research, Education and Surgery (iCORES), Department of Orthopedics, University of California, San Francis, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>International Center for Osseointegration Research, Education and Surgery (iCORES), Department of Orthopedics, University of California, San Francis</wicri:regionArea><wicri:noRegion>San Francis</wicri:noRegion></affiliation></author></analytic><series><title level="j">Der Unfallchirurg</title><idno type="ISSN">0177-5537</idno><idno type="eISSN">1433-044X</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>The direct attachment of osseointegrated (OI) prostheses to the skeleton avoids the inherent problems of socket suspension. It also provides physiological weight bearing, improved range of motion in the proximal joint, as well as osseoperceptive sensory feedback, enabling better control of the artificial limbs by amputees. The present article briefly reviews the pioneering efforts on extremity osseointegration surgeries in Sweden and the development of the OPRA (Osseointegrated Prostheses for the Rehabilitation of Amputees) program. The standard implant design of the OPRA system and surgical techniques are described as well as the special rehabilitation protocols based on surgical sites. The results of long-term follow-up for transradial, transhumeral, and thumb amputee operations are briefly reported including the prospective study of transfemoral amputees according to OPRA protocol. The importance of refinement on implant designs and surgical techniques based on the biomechanical analysis and early clinical trials is emphasized. Future aspects on osseointegration surgery are briefly described, including novel treatment options using implanted electrodes.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Ephraim, Pl" uniqKey="Ephraim P">PL Ephraim</name></author><author><name sortKey="Dillingham, Tr" uniqKey="Dillingham T">TR Dillingham</name></author><author><name sortKey="Sector, M" uniqKey="Sector M">M Sector</name></author><author><name sortKey="Pezzin, Le" uniqKey="Pezzin L">LE Pezzin</name></author><author><name sortKey="Mackenzie, Ej" uniqKey="Mackenzie E">EJ Mackenzie</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sobaci, G" uniqKey="Sobaci G">G Sobaci</name></author><author><name sortKey="Akyn, T" uniqKey="Akyn T">T Akyn</name></author><author><name sortKey="Mutlu, Fm" uniqKey="Mutlu F">FM Mutlu</name></author><author><name sortKey="Karagul, S" uniqKey="Karagul S">S Karagul</name></author><author><name 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sortKey="Hakansson, B" uniqKey="Hakansson B">B Hakansson</name></author><author><name sortKey="Branemark, R" uniqKey="Branemark R">R Branemark</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hagberg, K" uniqKey="Hagberg K">K Hagberg</name></author><author><name sortKey="Br Nemark, R" uniqKey="Br Nemark R">R Brånemark</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Jonsson, S" uniqKey="Jonsson S">S Jönsson</name></author><author><name sortKey="Caine Winterberger, K" uniqKey="Caine Winterberger K">K Caine-Winterberger</name></author><author><name sortKey="Br Nemark, R" uniqKey="Br Nemark R">R Brånemark</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Suède</li><li>États-Unis</li></country></list><tree><country name="Suède"><noRegion><name sortKey="Li, Yan" sort="Li, Yan" uniqKey="Li Y" first="Yan" last="Li">Yan Li</name></noRegion><name sortKey="Br Nemark, Rickard" sort="Br Nemark, Rickard" uniqKey="Br Nemark R" first="Rickard" last="Br Nemark">Rickard Br Nemark</name><name sortKey="Br Nemark, Rickard" sort="Br Nemark, Rickard" uniqKey="Br Nemark R" first="Rickard" last="Br Nemark">Rickard Br Nemark</name><name sortKey="Li, Yan" sort="Li, Yan" uniqKey="Li Y" first="Yan" last="Li">Yan Li</name></country><country name="États-Unis"><noRegion><name sortKey="Br Nemark, Rickard" sort="Br Nemark, Rickard" uniqKey="Br Nemark R" first="Rickard" last="Br Nemark">Rickard Br Nemark</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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