title: Osseocutaneous integration of an intraosseous transcutaneous amputation prosthesis implant used for reconstruction of a transhumeral amputee: case report.
abstract: Exoprosthetic replacement with an artificial limb is the main option for reconstruction after traumatic amputation of an upper limb. Direct skeletal attachment using an osseointegrated implant improves the ease of fixation of the exoprosthesis to the amputation stump. We now report the use of an intraosseous transcutaneous amputation prosthesis that is designed to achieve osseocutaneous integration. Osseocutaneous integration differs from osseointegration because the aim is to create a stable interface among the implant, the bone, and the soft tissues. This reduces the risk of soft tissue infection and troublesome discharge, which are problems encountered with current osseointegrated implants that focus largely on the bone-implant interface. We describe our experience with an intraosseous transcutaneous amputation prosthesis in a case of transhumeral amputation with 2 years of follow-up.
authors.affiliation: Department of Plastic Surgery, Royal Free Hospital, Hampstead, London NW32QG, UK. norbertkang@btinternet.com
authors.forename: Norbert V
authors.initials: NV
authors.lastname: Kang
authors.forename: Catherine
authors.initials: C
authors.lastname: Pendegrass
authors.forename: Linda
authors.initials: L
authors.lastname: Marks
authors.forename: Gordon
authors.initials: G
authors.lastname: Blunn
mesh_terms: D000672:Amputation Stumps / Q000601:surgery*; D000673:Amputation, Traumatic / Q000601:surgery*; D000674:Amputees / Q000534:rehabilitation; D001132:Arm; D001186:Artificial Limbs; D001753:Blast Injuries / Q000601:surgery; D062109:Dermatologic Surgical Procedures; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006811:Humerus / Q000601:surgery*; D008875:Middle Aged; D009104:Multiple Trauma / Q000601:surgery; D016348:Osseointegration / Q000502:physiology*; D011474:Prosthesis Design; D017755:Prosthesis Fitting; D019919:Prosthesis Implantation; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology