在下肢损失后康复的皮肤穿越骨整合假体系统 (TOPS):外科珍珠
Horst H Aschoff1, Marcus Örgel2, Marko Sass1
1Department of Traumatology, Hand and Reconstructive Surgery, Rostock University Medical Centre, Rostock, Germany.
JBJS essential surgical techniques
|January 25, 2024
概括
穿皮骨整合假肢系统为截肢者提供了更好的移动性和生活质量,当遵循适当的护理方案时,感染率较低. 这些系统绕过了传统的插座限制,以更好地整合四肢.
科学领域:
- 整形外科手术 整形外科手术
- 生物材料科学是生物材料的科学.
- 康复工程 康复工程 康复工程
背景情况:
- 骨髓内植入物的骨质整合对于稳定,持久的整合至关重要,受植入物设计,压贴定和加载的影响.
- 植入物和骨之间的相对运动可以导致结缔组织的形成,增加感染风险和植入物损失.
- 穿透皮肤的连接器带来了挑战,包括上升的骨髓内感染的风险,需要直接的骨植入物连接以实现无感染的骨整合.
研究的目的:
- 介绍Endo-Fix茎的两步植入过程,并描述其骨质整合.
- 为了在高压伤害患者身上展示定制的股骨和骨植入物的单步植入.
- 讨论Endo-Fix干和BADAL X植入物的特性,定位和骨整合机制.
主要方法:
- 描述了标准Endo-Fix干的2步植入方法.
- 经过单步植入定制短腿部和部植入物的证明.
- 详细的关键手术步骤:缩短骨,准备骨内腔,软组织修剪和伤口关闭.
主要成果:
- 描述了Endo-Fix干的骨质整合.
- 定制植入物在一个复杂的创伤病例中成功植入.
- 讨论强调了植入物特性和骨整合机制的相似之处和差异.
结论:
- 透皮骨整合假肢系统显著提高了移动性和生活质量.
- 在遵守术后护理协议的情况下,口腔感染率非常低.
- 这些系统为截肢者提供了可行的替代方案,特别是那些对传统插座假肢不耐受的人.
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