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J Hand Surg Am. 2010 Jul;35(7):1130-4. doi: 10.1016/j.jhsa.2010.03.037. Epub 2010 Jun 11.

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

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  • 1Department of Plastic Surgery, Royal Free Hospital, Hampstead, London NW32QG, UK. norbertkang@btinternet.com

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.

Copyright 2010 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

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