Rates of amputation as a percentage of all combat injuries have increased significantly since the Korean War. Following traumatic and combat-related amputation, definitive treatment and rehabilitation require a large, multidisciplinary team to provide comprehensive medical and supportive care. Associated injuries are remarkably frequent, complicating treatment and potentially delaying rehabilitation and/or limiting outcomes. Patient and family psychosocial issues also must be assessed and appropriately addressed. The US Army Amputee Patient Care Program, with the support of numerous other government and private organizations, has been developed to meet the comprehensive medical, rehabilitative, and social needs of amputees injured in the current global war on terrorism, with the goal of maximizing subsequent patient outcomes utilizing a sports medicine approach.
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Thighplasty for Transfemoral Amputations and Osseointegration: Lower Rate of Complications Than Thighplasty for Body Contouring.
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Department of Orthopaedic Surgery, The University of Pennsylvania Perelman School of Medicine, Philadelphia, PA.
Background: Modern techniques in lower extremity amputation have made significant advances to improve prosthetic control and soft-tissue envelopes through various techniques, including medial thighplasties. These advances are necessary to enhance the fit and functionality of the prosthesis in transfemoral amputations.
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Department of Orthopedic Surgery, Division of Hand & Upper Extremity Surgery, New York University Langone Health, New York City, NY; Center for Amputation Reconstruction, New York University Langone Health, New York City, NY.
Purpose: The purpose of this study was to conduct a systematic review evaluating the reported complications and outcomes of bone-anchored prostheses in digit and partial hand amputees.
Methods: A literature review of primary research articles on osseointegration and bone-anchored prostheses for digit and partial amputees was performed. The Medline, Embase, Scopus, and Cochrane Library databases were queried.
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View Article and Find Full Text PDFPain after amputation is often managed by target muscle reinnervation (TMR) with the added benefit that TMR also provides improved myoelectric terminal device control. However, as TMR takes several months for the recipient muscles to reliably reinnervate, this technique does not address pain within the subacute postoperative period during which pain chronification, sensitization, and opioid dependence and misuse may occur. Cryoneurolysis, described herein, uses focused, extreme temperatures to essentially "freeze" the nerve, blocking nociception, and improving pain in treated nerves potentially reducing the chances of pain chronification, sensitization, and substance dependence or abuse.
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