Osseointegrated finger prosthesis: An alternative method for finger reconstruction.
Three patients had traumatic amputation of the index and middle fingers at the base of the proximal phalanx. A 2-stage reconstruction procedure with osseointegrated titanium implants was performed in each patient to fix a finger prosthesis to the proximal phalanx. The first stage included implantation of the titanium fixture into the medullary canal of the proximal phalanx. After a 3-month rest period to allow the fixture to firmly osseointegrate with the proximal phalanx, a skin-penetrating abutment was placed on top of the fixture, to which the prosthesis was firmly attached. The follow-up period ranged from 16 to 24 months. There were minimal skin problems. Some tactile sensibility, better motor function, and good cosmetic results were achieved. (J Hand Surg 2000; 25A:86-92.
Manurangsee
P
P
Division of Plastic Surgery, Lerdsin General Hospital, Bangkok, Thailand.
Isariyawut
C
C
Chatuthong
V
V
Mekraksawanit
S
S
D000293:Adolescent; D000328:Adult; D000673:Amputation, Traumatic / Q000503:physiopathology / Q000601:surgery; D005260:Female; D005383:Finger Injuries / Q000503:physiopathology / Q000601:surgery; D005385:Fingers / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male; D016348:Osseointegration; D019919:Prosthesis Implantation / Q000379:methods*; D019651:Plastic Surgery Procedures / Q000379:methods*