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Issues And Trends In Healthcare Delivery System01:29

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The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
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Updated: May 7, 2026

Author Spotlight: Advancements and Challenges in Surgical Treatments for Postamputation Pain
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[Technological advances in amputation medicine].

Marcus Örgel1, Christian Krettek2, Harun Hawi3

  • 1Klinik für Unfall‑, Hand- und Wiederherstellungschirurgie, Universitätsklinikum des Saarlandes, Kirrberger Str. 100, 66424, Homburg, Deutschland. Marcus.Oergel@uks.eu.

Chirurgie (Heidelberg, Germany)
|May 6, 2026
PubMed
Summary
This summary is machine-generated.

Amputation medicine advances include osseointegrated prosthetics and neuroreconstruction for better limb function. These technologies, alongside digital rehabilitation, enhance mobility and reduce phantom pain for amputees.

Keywords:
Major amputationNeuroreconstructive proceduresOsseointegrationRehabilitationTranscutaneous prosthetic systems

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Area of Science:

  • Orthopedics and Rehabilitation Medicine
  • Biomedical Engineering

Background:

  • Global amputation rates are rising, necessitating advancements in prosthetic solutions and rehabilitation.
  • Technology plays a crucial role in modern amputation medicine, improving patient outcomes.

Purpose of the Study:

  • To review current advancements in amputation medicine, focusing on surgical techniques, prosthetics, and rehabilitation.
  • To highlight the benefits and risks of innovative treatments like transcutaneous osseointegrated prosthetic systems (TOPS) and neuroreconstructive procedures.

Main Methods:

  • Review of advanced surgical techniques including targeted muscle reinnervation (TMR) and regenerative peripheral nerve interfaces (RPNI).
  • Discussion of innovative prosthetic solutions such as transcutaneous osseointegrated prosthetic systems (TOPS).
  • Exploration of digital rehabilitation tools, including virtual reality (VR) and extended reality (XR).

Main Results:

  • Transcutaneous osseointegrated prosthetic systems (TOPS) offer improved mobility and quality of life but pose risks like infections.
  • Neuroreconstructive procedures (TMR, TSR, RPNI, AMI, nerve caps) facilitate intuitive prosthesis control and reduce pain.
  • VR/XR technologies aid motor function recovery and phantom pain reduction.

Conclusions:

  • An integrated treatment concept combining advanced surgery, prosthetics, and digital rehabilitation offers significant functional and psychosocial benefits for amputees.
  • Careful patient selection, preoperative diagnostics, and interdisciplinary follow-up are critical for successful outcomes.
  • Continued innovation in amputation medicine is vital to address increasing global amputation rates.