Publications by authors named "T Palibrk"
A mangled extremity is the most devastating limb injury and presents a challenge for the orthopedic surgeon. There are two main treatment options, reconstruction or amputation, but sometimes indications for either are not clear. There are many pro and contra arguments for both options.
View Article and Find Full Text PDFAmputations have a devastating impact on patients' health with consequent psychological distress, economic loss, difficult reintegration into society, and often low embodiment of standard prosthetic replacement.The main characteristic of bionic limbs is that they establish an interface between the biological residuum and an electronic device, providing not only motor control of prosthesis but also sensitive feedback.Bionic limbs can be classified into three main groups, according to the type of the tissue interfaced: nerve-transferred muscle interfacing (targeted muscular reinnervation), direct muscle interfacing and direct nerve interfacing.
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- Replantation of lower extremities is a challenging surgical procedure with ongoing debates regarding when it should be performed.
- Various scoring systems exist to help surgeons make decisions about replantation cases.
- The article discusses the successful functional results of a below-knee amputation replantation in an elderly patient 27 years post-injury, highlighting the considerations for replantation.
The treatment of severely injured extremities still presents a very difficult task for trauma orthopaedic surgeons. Despite improvements in technology and surgical/microsurgical techniques, sometimes a limb must be amputated, otherwise severe and potentially fatal complications may develop. There is a well-established belief that severe open fractures should be left open.
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- Hand loss creates considerable needs in orthopedics and prosthetics, pushing the evolution of prosthetic designs from basic models to advanced robotic hands capable of mimicking natural function.
- Despite advancements, challenges remain in providing sensory feedback like touch and temperature, which are crucial for environmental interaction and motor control.
- The paper discusses various implantation techniques and emerging technologies for bionic limbs, focusing on long-term electrode solutions to enhance control and feedback, ultimately improving quality of life for amputees.