上肢截肢的最佳位置:外科医生与假肢医生之间的比较
Brandon Apagüeño1, Sara E Munkwitz1, Nicholas V Mata1,2
1University of Miami Miller School of Medicine, Miami, FL 33136, USA.
Bioengineering (Basel, Switzerland)
|July 29, 2025
概括
优化截肢水平上肢截肢需要外科医生和假肢专家之间的合作. 这确保了更好的假肢适合,功能和患者满意度,改善了整体生活质量.
科学领域:
- 整形外科 整形外科 整形外科
- 康复医学 康复医学 康复医学
- 假肢工程 假肢工程
背景情况:
- 上肢截肢严重影响身体功能,心理健康和生活质量.
- 传统的手术指南优先考虑肢体的保存,有时与假肢优化需求相冲突.
研究的目的:
- 审查手术和假肢建议之间的最佳截肢水平的差异.
- 探索截肢水平对假肢设计,功能和患者结果的影响.
- 强调在截肢计划中需要采用多学科方法.
主要方法:
- 文献综述检查了上肢截肢水平的外科和假肢观点.
- 分析假肢选择 (被动,身体驱动,肌电,混合) 及其根据截肢地点的适用性.
- 讨论新兴技术,如有针对性的肌肉再生 (TMR).
主要成果:
- 手术和假肢理想截肢部位之间存在差异,影响假肢的适应性和功能.
- 剩余的四肢长度对于机械效率,对称性,舒适性和控制至关重要.
- 像TMR和肌电假肢这样的先进技术正在加强康复.
结论:
- 参与外科医生,假肢医生和患者的协作,多学科的方法对于最佳的截肢规划至关重要.
- 改进的手术前规划和专业间合作可以提高假肢的结果和患者的幸福感.
- 解决手术保存和假肢优化之间的冲突是提高功能独立性的关键.
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