PDF(Pubmed)
Abstract：
OBJECTIVE: To describe and evaluate the combination of osseointegration and nerve transfers in 3 transhumeral amputees.
METHODS: Case series.
METHODS: Three male patients with a unilateral traumatic transhumeral amputation.
METHODS: Patients received a combination of osseointegration and targeted muscle reinnervation surgery. Rehabilitation included graded weight training, range of motion exercises, biofeedback, table-top prosthesis training, and controlling the actual device. The impairment in daily life, health-related quality of life, and pain before and after the intervention was evaluated in these patients. Their shoulder range of motion, prosthesis embodiment, and function were documented at a 2- to 5-year follow-up.
RESULTS: All 3 patients attended rehabilitation and used their myoelectric prosthesis on a daily basis. Two patients had full shoulder range of motion with the prosthesis, while the other patient had 55° of abduction and 45° of anteversion. They became more independent in their daily life activities after the intervention and incorporated their prosthesis into their body scheme to a high extent.
CONCLUSIONS: These results indicate that patients can benefit from the combined procedure. However, the patients\' perspective, risks of the surgical procedures, and the relatively long rehabilitation procedure need to be incorporated in the decision-making.
METHODS: Case series.
METHODS: Three male patients with a unilateral traumatic transhumeral amputation.
METHODS: Patients received a combination of osseointegration and targeted muscle reinnervation surgery. Rehabilitation included graded weight training, range of motion exercises, biofeedback, table-top prosthesis training, and controlling the actual device. The impairment in daily life, health-related quality of life, and pain before and after the intervention was evaluated in these patients. Their shoulder range of motion, prosthesis embodiment, and function were documented at a 2- to 5-year follow-up.
RESULTS: All 3 patients attended rehabilitation and used their myoelectric prosthesis on a daily basis. Two patients had full shoulder range of motion with the prosthesis, while the other patient had 55° of abduction and 45° of anteversion. They became more independent in their daily life activities after the intervention and incorporated their prosthesis into their body scheme to a high extent.
CONCLUSIONS: These results indicate that patients can benefit from the combined procedure. However, the patients\' perspective, risks of the surgical procedures, and the relatively long rehabilitation procedure need to be incorporated in the decision-making.
摘要：
目的：描述和评估3例经肾截肢者骨整合和神经转移的组合。
方法：案例系列。
方法：3例男性患者单侧外伤性经眼截肢。
方法：患者接受了骨整合和靶向性肌肉神经支配手术的组合。康复包括分级重量训练，运动范围练习，生物反馈,桌面假肢训练,并控制实际设备。日常生活中的损伤，与健康相关的生活质量，对这些患者进行干预前后的疼痛评估。他们的肩膀活动范围，假体实施例，在2~5年的随访中记录了功能.
结果：所有3名患者都接受了康复治疗，并每天使用肌电假体。两名患者使用假体进行了完整的肩部活动范围，而另一名患者外展55°和前倾45°。干预后，他们在日常生活活动中变得更加独立，并在很大程度上将假体纳入了身体计划。
结论：这些结果表明患者可以从联合手术中获益。然而,从病人的角度来看，外科手术的风险，相对较长的康复程序需要纳入决策。
方法：案例系列。
方法：3例男性患者单侧外伤性经眼截肢。
方法：患者接受了骨整合和靶向性肌肉神经支配手术的组合。康复包括分级重量训练，运动范围练习，生物反馈,桌面假肢训练,并控制实际设备。日常生活中的损伤，与健康相关的生活质量，对这些患者进行干预前后的疼痛评估。他们的肩膀活动范围，假体实施例，在2~5年的随访中记录了功能.
结果：所有3名患者都接受了康复治疗，并每天使用肌电假体。两名患者使用假体进行了完整的肩部活动范围，而另一名患者外展55°和前倾45°。干预后，他们在日常生活活动中变得更加独立，并在很大程度上将假体纳入了身体计划。
结论：这些结果表明患者可以从联合手术中获益。然而,从病人的角度来看，外科手术的风险，相对较长的康复程序需要纳入决策。
