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Osseointegrated Finger Prostheses Using a Tripod Titanium Mini-Plate.

Oscar J Manrique1, Pedro Ciudad1, Matthew Doscher2

  • 1Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.

Archives of Plastic Surgery
|March 30, 2017
PubMed
Summary

Osseointegrated prostheses using a novel tripod titanium mini-plate offer a viable alternative for digital reconstruction when autologous options fail. This technique shows promising functional and aesthetic outcomes with minimal complications.

Keywords:
AmputationOsseointegrationOutcome assessmentProstheses

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Area of Science:

  • Orthopedic surgery
  • Biomaterials engineering
  • Reconstructive surgery

Background:

  • Digital amputation is a frequent upper extremity injury causing functional and psychosocial deficits.
  • Autologous reconstruction is the standard, but alternatives are needed when unavailable.
  • Prosthetic reconstruction offers a functional and aesthetic solution for digit loss.

Purpose of the Study:

  • To describe a novel tripod titanium mini-plate technique for osseointegrated digit prostheses.
  • To evaluate the functional and aesthetic outcomes of this technique in patients with digit amputations.

Main Methods:

  • Retrospective review of patients undergoing 2-stage prosthetic reconstruction.
  • Assessment of functional outcomes using the quick disabilities of the arm, shoulder, and hand (Q-DASH) scale.
  • Evaluation of aesthetic outcomes via a visual analog scale (VAS) and recording of complications.

Main Results:

  • Seven patients (average age 29) with single or multiple digit amputations were included.
  • High functional and aesthetic outcomes were reported (average Q-DASH 10.4, average VAS 9.1).
  • One case of mild cellulitis was successfully treated; no other complications occurred.

Conclusions:

  • Osseointegrated prosthetic reconstruction using the tripod titanium mini-plate is effective when autologous reconstruction is unsuitable.
  • The technique provides good functional and aesthetic results for digit reconstruction.
  • Further studies with larger cohorts and longer follow-up are needed to confirm long-term safety.