Osseointegration for Lower-Extremity Amputees: Operative Considerations from the Plastic Surgeon's Perspective.
JBJS Rev
; 10(11)2022 11 01.
Article
em En
| MEDLINE
| ID: mdl-36574447
â¢: Osseointegration for lower-extremity amputees, while increasing in frequency, remains in its relative infancy compared with traditional socket-based prostheses. â¢: Ideal candidates for osseointegration have documented failure of a traditional prosthesis and should be skeletally mature, have adequate bone stock, demonstrate an ability to adhere to a longitudinal rehabilitation protocol, and be in an otherwise good state of health. â¢: Lowering the reoperation rate for soft-tissue complications depends heavily on surgical technique and on the implant device itself; the current gold standard involves a smooth implant surface for dermal contact as well as maximal skin resection to prevent skin breakdown against the prosthesis. This may include the need for thighplasty to optimize skin reduction. â¢: Interdisciplinary peripheral nerve management, such as targeted muscle reinnervation, performed in tandem with a plastic surgery team can treat existing and prevent future symptomatic neuromas, ultimately improving pain outcomes.
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Cirurgiões
/
Amputados
Limite:
Humans
Idioma:
En
Revista:
JBJS Rev
Ano de publicação:
2022
Tipo de documento:
Article