Osseocutaneous integration of an intraosseous transcutaneous amputation prosthesis implant used for reconstruction of a transhumeral amputee: case report

Norbert V Kang; Catherine Pendegrass; Linda Marks; Gordon Blunn

doi:10.1016/j.jhsa.2010.03.037

Osseocutaneous integration of an intraosseous transcutaneous amputation prosthesis implant used for reconstruction of a transhumeral amputee: case report

Norbert V Kang, Catherine Pendegrass, Linda Marks, Gordon Blunn

Royal Free London NHS Foundation Trust

Research output: Contribution to journal › Article › peer-review

Abstract

Exoprosthetic replacement with an artificial limb is the main option for reconstruction after traumatic amputation of an upper limb. Direct skeletal attachment using an osseointegrated implant improves the ease of fixation of the exoprosthesis to the amputation stump. We now report the use of an intraosseous transcutaneous amputation prosthesis that is designed to achieve osseocutaneous integration. Osseocutaneous integration differs from osseointegration because the aim is to create a stable interface among the implant, the bone, and the soft tissues. This reduces the risk of soft tissue infection and troublesome discharge, which are problems encountered with current osseointegrated implants that focus largely on the bone-implant interface. We describe our experience with an intraosseous transcutaneous amputation prosthesis in a case of transhumeral amputation with 2 years of follow-up.

Original language	English
Pages (from-to)	1130-4
Number of pages	5
Journal	The Journal of Hand Surgery
Volume	35
Issue number	7
DOIs	https://doi.org/10.1016/j.jhsa.2010.03.037
Publication status	Published - Jul 2010

Keywords

Amputation Stumps
Amputation, Traumatic
Amputees
Arm
Artificial Limbs
Blast Injuries
Dermatologic Surgical Procedures
Female
Follow-Up Studies
Humans
Humerus
Middle Aged
Multiple Trauma
Osseointegration
Prosthesis Design
Prosthesis Fitting
Prosthesis Implantation
Treatment Outcome
Wound Healing
Case Reports
Research Support, Non-U.S. Gov't

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10.1016/j.jhsa.2010.03.037

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title = "Osseocutaneous integration of an intraosseous transcutaneous amputation prosthesis implant used for reconstruction of a transhumeral amputee: case report",

abstract = "Exoprosthetic replacement with an artificial limb is the main option for reconstruction after traumatic amputation of an upper limb. Direct skeletal attachment using an osseointegrated implant improves the ease of fixation of the exoprosthesis to the amputation stump. We now report the use of an intraosseous transcutaneous amputation prosthesis that is designed to achieve osseocutaneous integration. Osseocutaneous integration differs from osseointegration because the aim is to create a stable interface among the implant, the bone, and the soft tissues. This reduces the risk of soft tissue infection and troublesome discharge, which are problems encountered with current osseointegrated implants that focus largely on the bone-implant interface. We describe our experience with an intraosseous transcutaneous amputation prosthesis in a case of transhumeral amputation with 2 years of follow-up.",

keywords = "Amputation Stumps, Amputation, Traumatic, Amputees, Arm, Artificial Limbs, Blast Injuries, Dermatologic Surgical Procedures, Female, Follow-Up Studies, Humans, Humerus, Middle Aged, Multiple Trauma, Osseointegration, Prosthesis Design, Prosthesis Fitting, Prosthesis Implantation, Treatment Outcome, Wound Healing, Case Reports, Research Support, Non-U.S. Gov't",

author = "Kang, {Norbert V} and Catherine Pendegrass and Linda Marks and Gordon Blunn",

year = "2010",

month = jul,

doi = "10.1016/j.jhsa.2010.03.037",

language = "English",

volume = "35",

pages = "1130--4",

journal = "The Journal of Hand Surgery",

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T2 - case report

AU - Kang, Norbert V

AU - Pendegrass, Catherine

AU - Marks, Linda

AU - Blunn, Gordon

PY - 2010/7

Y1 - 2010/7

N2 - Exoprosthetic replacement with an artificial limb is the main option for reconstruction after traumatic amputation of an upper limb. Direct skeletal attachment using an osseointegrated implant improves the ease of fixation of the exoprosthesis to the amputation stump. We now report the use of an intraosseous transcutaneous amputation prosthesis that is designed to achieve osseocutaneous integration. Osseocutaneous integration differs from osseointegration because the aim is to create a stable interface among the implant, the bone, and the soft tissues. This reduces the risk of soft tissue infection and troublesome discharge, which are problems encountered with current osseointegrated implants that focus largely on the bone-implant interface. We describe our experience with an intraosseous transcutaneous amputation prosthesis in a case of transhumeral amputation with 2 years of follow-up.

AB - Exoprosthetic replacement with an artificial limb is the main option for reconstruction after traumatic amputation of an upper limb. Direct skeletal attachment using an osseointegrated implant improves the ease of fixation of the exoprosthesis to the amputation stump. We now report the use of an intraosseous transcutaneous amputation prosthesis that is designed to achieve osseocutaneous integration. Osseocutaneous integration differs from osseointegration because the aim is to create a stable interface among the implant, the bone, and the soft tissues. This reduces the risk of soft tissue infection and troublesome discharge, which are problems encountered with current osseointegrated implants that focus largely on the bone-implant interface. We describe our experience with an intraosseous transcutaneous amputation prosthesis in a case of transhumeral amputation with 2 years of follow-up.

KW - Amputation Stumps

KW - Amputation, Traumatic

KW - Amputees

KW - Arm

KW - Artificial Limbs

KW - Blast Injuries

KW - Dermatologic Surgical Procedures

KW - Female

KW - Follow-Up Studies

KW - Humans

KW - Humerus

KW - Middle Aged

KW - Multiple Trauma

KW - Osseointegration

KW - Prosthesis Design

KW - Prosthesis Fitting

KW - Prosthesis Implantation

KW - Treatment Outcome

KW - Wound Healing

KW - Case Reports

KW - Research Support, Non-U.S. Gov't

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DO - 10.1016/j.jhsa.2010.03.037

M3 - Article

C2 - 20541327

SN - 0363-5023

VL - 35

SP - 1130

EP - 1134

JO - The Journal of Hand Surgery

JF - The Journal of Hand Surgery

IS - 7

ER -

Osseocutaneous integration of an intraosseous transcutaneous amputation prosthesis implant used for reconstruction of a transhumeral amputee: case report

Abstract

Keywords

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