The best level of amputation must take into consideration the newest socket designs, methods of prosthetic suspension, and technologically advanced components. In some instances stump revision should be considered, to provide a better prosthetic fitting and function. Targeted reinnervation is a new neural-machine interface that has been developed to help improve the function of electrically powered upper prosthetic limbs. Osseointegrated implants for prosthetic suspension offer amputees an alternative to the traditional socket suspension, and are especially useful for transfemoral and transhumeral levels of amputation. Cadaver bone can be used to lengthen an extremely short residual bony lever arm.
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http://dx.doi.org/10.1016/j.pmr.2013.09.013 | DOI Listing |
Arch Orthop Trauma Surg
January 2025
BG Klinikum Unfallkrankenhaus Berlin, Department of Hand-, Replantation- and Microsurgery and Chair of Hand-, Replantation- and Microsurgery, Charité Universitätsmedizin Berlin, Berlin, Germany.
Introduction: Rhizarthrosis, or osteoarthritis of the trapeziometacarpal joint, predominantly affects women over 50, with up to 30% experiencing some degree of arthritis in this joint. Traditional surgical approaches, such as trapeziectomy with ligament reconstruction, can result in some patients in persistent pain or limited functionality. TMC ball-in-socket arthroplasty, with a cup placed in the distal scaphoid, offers a promising alternative to traditional arthrodesis or resection-suspension arthroplasty.
View Article and Find Full Text PDFJ Biomech
February 2025
Arts et Métiers Institute of Technology, Université Sorbonne Paris Nord, IBHGC - Institut de Biomécanique Humaine Georges Charpak, HESAM Université, 151 boulevard de l'Hôpital, 75013 Paris, France. Electronic address:
Improper socket fitting in lower-limb prostheses can lead to significant complications, including pain, skin lesions, and pressure ulcers. Current suspension and socket design practices rely predominantly on visual inspection of the residual limb and patient feedback. Monitoring stress distribution at the residual limb/socket interface offers a more objective approach.
View Article and Find Full Text PDFPhys Med Rehabil Clin N Am
November 2024
Department of Physical Medicine and Rehabilitation, Minneapolis VA Health Care System, 1 Veterans Drive, Minneapolis, MN 55417, USA.
This article reviews emerging surgical techniques and prosthetic innovations related to amputation rehabilitation. Osseointegration is discussed from conception to modern implant designs. Motor and sensory reinnervation techniques are reviewed and compared.
View Article and Find Full Text PDFPhys Med Rehabil Clin N Am
November 2024
Regional Amputation Center, VA Puget Sound Health Care System, 1660 South Columbian Way, Seattle, WA 98108, USA.
Phys Med Rehabil Clin N Am
November 2024
Regional Amputation Center, Rehabilitation Care Services, VA Puget Sound Health Care System, 1660 South Columbian Way, Seattle, WA 98108, USA.
This article describes fundamental lower limb prosthesis concepts and componentry, including skeletal structure (endoskeletal vs exoskeletal), transtibial and transfemoral sockets, prosthetic suspension and interfaces, prosthetic knees, and prosthetic foot and ankle systems.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!