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Osseointegrated prostheses for rehabilitation following amputation : The pioneering Swedish model

Artikel i vetenskaplig tidskrift
Författare Yan Li
Rickard Brånemark
Publicerad i Unfallchirurg
Volym 120
Nummer/häfte 4
Sidor 285-292
ISSN 0177-5537
Publiceringsår 2017
Publicerad vid Institutionen för kliniska vetenskaper, sektionen för anestesi, biomaterial och ortopedi, Avdelningen för ortopedi
Sidor 285-292
Språk en
Länkar doi.org/10.1007/s00113-017-0331-4
Ämnesord Amputation/*rehabilitation, *Amputation Stumps, *Artificial Limbs, Evidence-Based Medicine, *Exoskeleton Device, Humans, *Osseointegration, Prosthesis Design, Prosthesis Implantation/*methods, Sweden, Treatment Outcome, Amputation, Opra, Osseointegration Artificial limbs, Prostheses and implants, Prosthesis implantation
Ämneskategorier Ortopedi

Sammanfattning

The direct attachment of osseointegrated (OI) prostheses to the skeleton avoids the inherent problems of socket suspension. It also provides physiological weight bearing, improved range of motion in the proximal joint, as well as osseoperceptive sensory feedback, enabling better control of the artificial limbs by amputees. The present article briefly reviews the pioneering efforts on extremity osseointegration surgeries in Sweden and the development of the OPRA (Osseointegrated Prostheses for the Rehabilitation of Amputees) program. The standard implant design of the OPRA system and surgical techniques are described as well as the special rehabilitation protocols based on surgical sites. The results of long-term follow-up for transradial, transhumeral, and thumb amputee operations are briefly reported including the prospective study of transfemoral amputees according to OPRA protocol. The importance of refinement on implant designs and surgical techniques based on the biomechanical analysis and early clinical trials is emphasized. Future aspects on osseointegration surgery are briefly described, including novel treatment options using implanted electrodes.

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