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Amputation surgery.

David Schnur1, Robert H Meier

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Physical Medicine and Rehabilitation Clinics of North America
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PubMed
Summary
This summary is machine-generated.

Optimizing amputation levels involves considering advanced prosthetic components and suspension methods. Innovations like targeted reinnervation and osseointegration offer improved function and fitting for amputees.

Keywords:
AllograftAmputationOsseointegrated implantTargeted muscle reinnervation

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Area of Science:

  • Biomedical Engineering
  • Prosthetics and Orthotics
  • Rehabilitation Medicine

Background:

  • Optimal amputation level selection is crucial for prosthetic fitting and function.
  • Traditional prosthetic suspension methods can present challenges for amputees.
  • Technological advancements are continuously improving prosthetic capabilities.

Purpose of the Study:

  • To review current considerations for determining the optimal amputation level.
  • To highlight advanced prosthetic technologies and their impact on amputee function.
  • To discuss innovative solutions for prosthetic suspension and limb lengthening.

Main Methods:

  • Consideration of state-of-the-art socket designs and prosthetic suspension techniques.
  • Evaluation of targeted reinnervation as a neural-machine interface for upper limb prosthetics.
  • Assessment of osseointegrated implants as an alternative prosthetic suspension method.
  • Exploration of bone grafting techniques, including cadaver bone, for residual limb lengthening.

Main Results:

  • Advanced socket designs and suspension methods enhance prosthetic fitting and function.
  • Targeted reinnervation shows promise for improving control of powered upper limb prosthetics.
  • Osseointegration provides a viable alternative suspension for transfemoral and transhumeral amputations.
  • Bone lengthening techniques can address limitations of short residual bony lever arms.

Conclusions:

  • The optimal amputation level requires a multidisciplinary approach considering prosthetic technology.
  • Innovations in neural interfaces and implantable devices are expanding prosthetic possibilities.
  • Stump revision and limb lengthening techniques offer solutions for challenging amputation levels.