RADIOGRAPHIC ASSESSMENT OF EXTREMITY OSSEOINTEGRATION FOR THE AMPUTEE.
RADIOGRAPHIC ASSESSMENT OF EXTREMITY OSSEOINTEGRATION FOR THE AMPUTEE.
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DOI：
10.21300/18.2-3.2016.211
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发表时间：
2016-09
影响因子：
0.5
通讯作者：
Kahle JT
中科院分区：
文献类型：
--
作者：
Al Muderis M;Bosley BA;Florschutz AV;Lunseth PA;Klenow TD;Highsmith MJ;Kahle JT
骨结合(OI)是一种骨锚固过程，允许通过使用种植体直接将假体与骨骼连接。经皮OI植入物与皮下髓内关节植入物相似，但有一些例外。特别是，OI植入物被插入股骨的远端，而髓内植入物被插入股骨的近端。在这份报告中，引入了另一种用于髓内植入物的放射学分区分析，称为Gruen区，以包括四肢假体的OI植入物。提出了射线地带性分析和解释方法。Gruen区用于髓内植入物，通常从骨的近端植入。OI肢体植入物是从骨骼的远端插入的。因此，地带性分析是反转的。澳大利亚骨整合小组(OGA)介绍了一种放射地带性分析方法。这种分析对于四肢OI的临床评估是特别必要的，因为已经报道了骨和OI植入物的重大变化，需要临床描述。建立四肢骨整合种植体的治疗指南需要一种分类技术。OGA分区分析通过采用一个通用的参考标准来满足这一需求，以适应截肢者的骨整合。
Osseointegration (OI) is a bone-anchoring procedure that allows the direct skeletal attachment of a prosthesis through the use of an implant. Transcutaneous OI implants are similar to subcutaneous intramedullary joint implants with some exceptions. Particularly, OI implants are inserted at the distal aspect of the femur, while intramedullary implants are inserted at the proximal aspect of the femur. In this report, an additional adaptation of the radiographic zonal analysis used for intramedullary implants, known as Gruen zones, is introduced to include OI implants of extremity prosthetics. Radiographic zonal analyses and interpretations are proposed. Gruen zones are used for intramedullary implants, which are generally inserted from the proximal aspect of the bone. OI extremity implants are inserted from the distal end of the bone. Therefore, the zonal analysis is inverted. A radiographic zonal analysis has been introduced by the Osseointegration Group of Australia (OGA). This analysis is needed specifically for the clinical evaluation of extremity OI, as significant changes to the bone and OI implant have been reported and need to be clinically described. A classification technique is necessary for establishing treatment guidelines for the extremity osseointegrated implant. The OGA Zonal analysis addresses this need by adapting a common reference standard to osseointegration of the extremity amputee.