摘要
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.
Abstract
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 per-ceived 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.
基金项目
国家重点研发计划项目(2017YFA0701100)
NETL
NSTL
万方数据