Journal
PROSTHETICS AND ORTHOTICS INTERNATIONAL
Volume 35, Issue 2, Pages 190-200Publisher
SAGE PUBLICATIONS LTD
DOI: 10.1177/0309364611409003
Keywords
Osseointegration; skeletal anchoring; upper limb prosthetics; upper limb amputation; prosthetic rehabilitation
Categories
Funding
- Sahlgrenska University Hospital
- University of Gothenburg
- ALF
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Background: The osseointegration programme for upper extremity amputation started in Sweden in 1990, when a titanium fixture was first implanted into a thumb. This method has since been used for transhumeral and below-elbow amputation. The treatment involves two surgical procedures. During the first a titanium fixture is surgically attached to the skeleton, and a second procedure six months later involves a skin penetrating abutment to which the prosthesis is attached. Objectives: To describe the osseointegration procedure for surgery, prosthetics and rehabilitation. Methods: Patients with short stumps and previous problems with prosthetic fitting were selected. From 1990 to April 2010, 37 upper limb cases were treated and fitted with prosthesis: 10 thumbs, 1 partial hand, 10 transradial and 16 transhumeral amputations. Of these, 7 patients are currently not prosthetic users. Results: Patients indicated that function and quality of life had improved since osseointegration. Conclusion: Osseointegration is an important platform for present and future prosthetic technology. The prosthetic situation is improved due to the stable fixation, freedom of motion and functionality.
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