骨整合假肢的临床应用研究进展

Clinical development of osseointegrated prostheses

骨整合假肢通过结合临床手术替代了传统接受腔型假肢,在肱骨、桡骨、指骨、股骨、胫骨等截肢部位的假肢适配中实现了临床应用,患者运动-感知能力得到了增强,提升了患者对假肢的"具身"认知感。本文从假肢适配存在问题、骨整合假肢技术发展、手术方案、并发症及预后效果等方面进行阐述,并对骨整合假肢未来的应用和发展进行展望。

Osseointegrated prostheses provide a rehabilitation option for amputees.Due to their greater mobility,better satisfaction,and higher use than traditional socket prostheses,they have been employed in transhumeral,transradial,transfemoral,transtibial,and other hand and finger amputations.They are perceived by their users as part of their own body(high embodiment)because they have enhanced motor-sensory capability of the stump.An osseointegrated robotic limb also can be equipped with sensory-motor integration and targeted muscle reinnervation.This article reviews the problems of prosthetic adaptation,the technological development,surgical protocols,complications,and prognosis in osseointegrated prostheses,and discusses their future application and development.