Attachment of upper arm prostheses with a subcutaneous osseointegrated implant in transhumeral amputees

Salminger, Stefan; Gradischar, Andreas; Skiera, Richard; Roche, Aidan D.; Sturma, Agnes; Höfer, Christian

doi:10.1177/0309364616665732

Cited by 21 publications

(16 citation statements)

References 17 publications

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“…The patients in the latter studies overlapped with those in another study already included in the review. The remaining 22 articles comprising 13 unique studies met the inclusion criteria and were included in the review.…”

Section: Resultsmentioning

confidence: 99%

“…The implant removal rate ranged from 3 to 11 per cent across seven articles, and was attributed mainly to infections and loosening. Revision rates ranged from 0 to 54 per cent.…”

Section: Resultsmentioning

confidence: 99%

“…In a case series 33 involving five patients with transtibial amputation and a history of PAD who received an osseointegration implant, four were pain-free after 1 year. In the case series 40 of two patients, no pain was reported at the stump on wearing a prosthesis after 2 years. In a prospective follow-up of 100 individuals with osseointegrated implants, severe phantom limb pain was reported as the main reason why two patients were not using their prostheses 35 .…”

Section: Painmentioning

confidence: 90%

“…After 2 years, patients with an implant had a significant increase in hip extension and reduction in pelvic tilt, which approached the gait patterns of the normal controls 16 . In a small series of two patients 40 , both reported improved prosthetic function and a decrease in restriction of range of motion using the implant with customized sockets compared with a conventional socket prosthesis.…”

Section: Other Functional Outcomesmentioning

confidence: 98%

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Systematic review of the safety and efficacy of osseointegration prosthesis after limb amputation

Kunutsor

Gillatt

Blom

2018

British Journal of Surgery

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Background Osseointegration, an approach for direct skeletal attachment of a prosthesis to an amputated limb, may address many of the problems associated with socket prostheses. The safety of osseointegration remains uncertain. The aim of this study was to summarize evidence on functional and clinical outcomes, as well as adverse effects of osseointegration for patients with a limb amputation. Methods MEDLINE, Embase, Web of Science and the Cochrane Library were searched to April 2018. Eligible studies were observational, case and qualitative studies, and RCTs conducted in patients with a limb amputation, who were managed with osseointegrated prostheses and had follow‐up data. Results Twenty‐two eligible articles comprising 13 unique studies were included. No RCT was identified. Apart from three case reports that comprised one to five patients, the sample size of studies ranged from 11 to 100 participants. All relevant studies reported improvement in functional outcomes (walking ability, prosthetic use and mobility), satisfaction and quality of life following osseointegration, compared with their preoperative status or when using a conventional socket prosthesis. Infection rates ranged from 1 (95 per cent c.i. 0 to 5) to 77 (59 to 88) per cent. The majority of infections were described as low‐grade soft tissue or superficial infections related to the skin–implant interface, and were treated effectively with antibiotics. None of the studies reported additional amputation or death as a result of osseointegration. Conclusion Osseointegration after limb amputation improves prosthetic use, comfort when sitting, walking ability, mobility, gait and quality of life. However, it is associated with an increased risk of soft tissue infection.

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Section: Resultsmentioning

confidence: 99%

“…The implant removal rate ranged from 3 to 11 per cent across seven articles, and was attributed mainly to infections and loosening. Revision rates ranged from 0 to 54 per cent.…”

Section: Resultsmentioning

confidence: 99%

Section: Painmentioning

confidence: 90%

Section: Other Functional Outcomesmentioning

confidence: 98%

See 2 more Smart Citations

Systematic review of the safety and efficacy of osseointegration prosthesis after limb amputation

Kunutsor

Gillatt

Blom

2018

British Journal of Surgery

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“…Neben der Steuerung, die durch neue Technologien in der Signalextraktion und -verarbeitung, wie z. B. Mustererkennung, deutlich verbessert werden kann, wird auch die prothetische Anbin-dung an den Stumpf laufend optimiert [10,12]. Das Konzept der Osseointegration ermöglicht eine direkte Anbindung an das knöcherne Skelett mit bestmöglichem Erhalt des Bewegungsumfangs des Stumpfs [3].…”

Section: Zukünftige Weiterentwicklungenunclassified