激进分子-敌对分子神经神经元界面在跨骨截肢中
Colin J Harrington1, Marissa Dearden1, John Richards1
1Department of Orthopaedic Surgery, Walter Reed National Military Medical Center, Bethesda, Maryland.
JBJS essential surgical techniques
|January 29, 2024
概括
肌神界面 (AMI) 技术通过恢复自然肌肉功能和增强自身感知反来改善跨骨截肢后的假肢控制. 这种方法有助于保持残余肢体体积,并提供与传统截肢方法相比更好的假肢整合.
科学领域:
- 再生医学是一种再生医学.
- 手术创新 在外科创新.
- 假肢学和生物力学
背景情况:
- 截肢截肢通常导致自然肌肉功能和自身感知丧失.
- 传统的截肢技术可能会导致残余四肢缩和低于最佳的假肢适合.
- 激进分子-对抗分子肌神界面 (AMI) 技术旨在恢复自然肌肉关系.
研究的目的:
- 描述在跨截肢截肢时使用激动剂-对抗剂肌神经接口 (AMI) 的手术技术.
- 突出AMI在恢复自然肌肉功能和改善自身感知反方面的好处.
- 为了比较AMI与传统的同度肌切除和标准的截肢手术.
主要方法:
- AMI技术涉及使用切割的肌创建激进分子-对抗分子肌肉对.
- 再生外围神经接口 (RPNI) 是为主要的下肢神经创建的.
- 自由肌肉移植和扩展器视网膜被用于RPNI和突道建设.
主要成果:
- 早期的临床结果显示有希望的结果与轻微的并发症.
- 电肌图表显示,提高了限制无意肌肉共同收缩的能力.
- 术后保持了残余肢体体积,使假肢更好地适应.
结论:
- 艾米技术恢复了自然的激动剂-对抗剂关系,增强了自身感知反和假肢控制.
- 与传统肌肉测试相比,AMI提供了优势,包括改善肌肉功能和维持四肢体积.
- 这种技术有可能通过先进的假肢设备来优化结果.
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