骨整合在跨体截肢术后对直观假肢控制的新兴价值:系统性审查
Vlad Tereshenko1, Riccardo Giorgino2,3, Kyle R Eberlin1
1From Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Mass.
Plastic and reconstructive surgery. Global open
|May 29, 2024
概括
与传统插座相比,骨质整合假肢显著改善了跨体截肢者的功能和生活质量. 这种先进的假肢实施方案提供了增强的运动范围和直观的生物手控制.
科学领域:
- 生物医学工程 生物医学工程
- 康复医学 康复医学 康复医学
- 整形外科手术 整形外科手术
背景情况:
- 上肢肢损失严重影响生活质量,并造成社会成本.
- 骨质整合为假肢提供直接的骨附着,这是传统插座假肢的替代品.
- 穿越性截肢为假肢体现带来了独特的挑战.
研究的目的:
- 审查骨质整合假肢实施方案,用于跨体截肢.
- 评估植入系统,术后结果和并发症.
- 评估功能改善和患者的幸福感.
主要方法:
- 按照PRISMA和AMSTAR指南进行系统审查.
- 在文献中搜索,确定相关的回顾性分析和案例系列.
- 评估功能结果,植入物寿命,日常生活活动和并发症.
主要成果:
- 从794个初始搜索中,有8篇文章符合列入标准.
- 带有骨质整合假肢用于截肢者康复 (OPRA) 植入物的肌电系统很常见.
- 骨一体化假肢显示出比插座假肢更好的运动范围和活动性能.
- 骨整合植入物促进双向信号传输,用于直观的假肢控制.
结论:
- 骨质整合假肢显示出极大的潜力,大大提高了 transhumeral 截肢者的生活质量.
- 预计进一步的研究和临床应用将提高疗效,安全性和成本效益.
- 设备设计和效率的进步将推动长期成本的降低.
相关概念视频
Bones of the Lower Limb: Tibia and Fibula
14.7K
The tibia is the main weight-bearing bone of the lower leg. It is larger than the fibula with which it is paired. The tibia is also the second longest bone in the body and is located right below the skin. The proximal end of the tibia forms the medial and the lateral condyle, which articulates with the condyles of the femur to form the knee joint. Between the articulating surfaces is the irregular elevated area known as the intercondylar eminence that serves as the inferior attachment point for...
14.7K
Development of the Limb Synovial Joints
4.9K
Joints form during embryonic development in conjunction with the formation and growth of the associated bones. The embryonic tissue that gives rise to all bones, cartilage, and connective tissues of the body is called mesenchyme.
The mesenchymal stem cells differentiate into chondrocytes that form the hyaline cartilage, and later the cartilaginous model of the bone. This model further transforms into a bone. This process is known as endochondral ossification.
During development, the limbs...
The mesenchymal stem cells differentiate into chondrocytes that form the hyaline cartilage, and later the cartilaginous model of the bone. This model further transforms into a bone. This process is known as endochondral ossification.
During development, the limbs...
4.9K


