Traumatology and Orthopedics of RussiaTraumatology and Orthopedics of RussiaТравматология и ортопедия России2311-29052542-0933Vreden National Medical Research Center of Traumatology and Orthopedics1746510.17816/2311-2905-17465ReviewsОбзорыReviewsReview ArticleLower extremity osseointegration — a review of the current experiences and expectationsПрименение метода остеоинтеграции на нижней конечности — современное состояние и перспективы: обзор литературыhttps://orcid.org/0009-0009-7786-6949GrossJason D.ГроссДжейсон Д.
United States
Grossj@hss.eduhttps://orcid.org/0009-0009-5630-6459GrunfeldMatanГрюнфельдМатан
United States
Mgrunfel@student.nymc.eduhttps://orcid.org/0000-0003-1632-4600RozbruchS. RobertРозбрухС. Роберт
United States

MD, Professor

профессор

RozbruchSR@hss.eduhttps://orcid.org/0000-0001-5220-8071ReifTaylor J.РейфТейлор Дж.
United States
reift@hss.eduhttps://orcid.org/0000-0001-7065-0656HoellwarthJason S.ХоллвартДжейсон С.
United States

MD

hoellwarthj@hss.eduHospital for Special Surgery, Osseointegration Limb Replacement CenterHospital for Special Surgery, Osseointegration Limb Replacement Center300920243031201311402202420032024Copyright ©; 2024, Eco-VectorCopyright ©; 2024, Эко-ВекторCopyright ©; 2024,2024Eco-VectorЭко-Векторhttps://creativecommons.org/licenses/by-nc-nd/4.0https://journal.rniito.org/jour/article/view/17465

Transcutaneous osseointegration for amputees (TOFA), an alternative approach to limb-loss rehabilitation, offers an enhanced quality of life and mobility, overcoming some challenges associated with amputation. This review presents evolution, surgical techniques, patient selection principles, and outcomes associated with TOFA. Notable points include the recognition that press-fit osseointegration techniques and implants achieve the quality of life and mobility improvements with a single surgical episode. Infection remains the most common adverse event, but uncommonly requires additional surgery, and rarely requires implant removal. Press-fit osseointegration has proven suitable for rehabilitating a broad range of patients with pelvic, transfemoral, or transtibial amputation performed to manage trauma, cancer, infection, chronic pain, and deformity. This technigue is safe for patients with vascular disease, diabetes mellitus, short residual bones, and osteoporotic residual bones. This article serves as a central resource for understanding the principles and techniques of osseointegration.

Чрескостная остеоинтеграция (ЧО) является одним из методов реабилитации пациентов после утраты конечности, позволяющим повысить качество жизни и мобильность, а также решить некоторые проблемы, связанные с ампутацией. В обзоре освещаются эволюция ЧО, хирургические методы, принципы отбора пациентов и результаты ее применения. Особо следует отметить, что метод остеоинтеграции и press-fit имплантаты позволяют повысить качество жизни и мобильность пациента за одну операцию. На сегодняшний день инфекция остается наиболее часто встречающимся осложнением, которое, тем не менее, редко требует дополнительного хирургического вмешательства и удаления имплантата. Остеоинтеграция с применением press-fit имплантатов успешно используется в реабилитации пациентов, перенесших ампутации на уровне таза, бедра или голени по поводу травмы, онкологического заболевания, инфекции, хронической боли или деформации. Остеоинтеграция безопасна для пациентов с сосудистыми заболеваниями, сахарным диабетом, со сниженной плотностью костной ткани или с короткими фрагментами костей культи.

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