Osseointegrated finger prostheses.
Amputation of a digit can lead to functional and psychological problems and patients can benefit from digital prostheses. Unfortunately, standard prostheses are often unstable, particularly when fitted over short amputation stumps. Prosthesis fixation by osseointegration is widely used in oral and extraoral applications and may help avoid the problem of instability. This paper reports the results of four patients with five finger amputations who were treated with osseointegrated implants to attach finger prostheses. One implant failed to osseointegrate and the procedure was abandoned. Three patients were successfully treated to completion of three finger prostheses and are extremely satisfied with their outcomes, both cosmetically and functionally, with osseoperception reported by all three patients.
Doppen
P
P
Groote Schuur Hospital, The Martin Singer Hand Unit, Department of Orthopaedic Surgery, Cape Town, South Africa.
Solomons
M
M
Kritzinger
S
S
D000328:Adult; D000672:Amputation Stumps / Q000601:surgery; D000673:Amputation, Traumatic / Q000000981:diagnostic imaging / Q000601:surgery*; D002648:Child; D004954:Esthetics; D005260:Female; D005383:Finger Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D016348:Osseointegration / Q000502:physiology*; D017060:Patient Satisfaction; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D019736:Prostheses and Implants; D011474:Prosthesis Design; D017755:Prosthesis Fitting; D011859:Radiography; D016038:Skin Transplantation; D014025:Titanium
D014025:Titanium