The future of the amputees with osseointegration: A systematic review of literature.
The future of the amputees with osseointegration: A systematic review of literature.
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DOI：
10.1016/j.jcot.2019.05.025
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发表时间：
2020-02-01
影响因子：
--
通讯作者：
Dabash, Sherif
中科院分区：
文献类型：
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作者：
Gerzina, Christopher;Potter, Eric;Dabash, Sherif
目的：窝形假体附着体是目前截肢患者的金标准。骨整合种植是一种新技术，与目前的金标准相比有许多优点。在文献中已经很好地确立了其使用优于窝式假体附着体的明显优势。它可以减少眼窝问题，如挤压，压力点，慢性皮肤问题和由于肌肉萎缩而频繁更换眼窝。方法：我们回顾了记录截肢后骨整合假体植入术患者并发症发生率和预后指标的主要研究文章。结果：9项研究共纳入211-242例患者。考虑了临床、影像学和功能结果以及并发症。所有研究的平均随访时间均大于12个月。结论：骨融合术是经股截肢患者替代骨臼假体的有效方法。经胫骨和上肢假体在文献中被低估，并且没有明确的指征表明它们比窝假体更有效。轻微的并发症是最常见的，如软组织感染，并可能在未来减轻手术技术和种植体设计的改进。证据等级为3。
OBJECTIVE: Socket prosthesis attachment is the current gold standard for limb amputees. Osseointegrated implantation is a novel technique that has many proposed advantages over the current gold standard. Clear advantages for its use over socket prosthetic attachment has been well established in literature. It decreases socket problems as pinching, pressure points, chronic skin problems and frequent socket change due to atrophy of muscles.METHODS: We reviewed primary research articles documenting complication rates and outcome measures in patients with osseointegrated prosthesis implantation after limb amputation.RESULTS: Nine studies were identified with a total of 211-242 patients. Clinical, radiographic, and functional outcomes, as well as complications were considered. The mean duration of follow-up was greater than 12 months in all studies.CONCLUSIONS: Osseointegration is an effective alternative to socket prosthesis in transfemoral amputees. Transtibial and upper extremity implants are underreported in the literature and clear indication for their effectiveness over socket prosthesis does not exist. Minor complications are most common, such as soft tissue infections, and may be mitigated in the future by improvements in surgical technique and implant design.The level of evidence is 3.