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THE ENDO-EXO-FEMORAL PROSTHESIS
- 作者: Aschoff H.
- 期: 卷 17, 编号 1 (2011)
- 页面: 101-105
- 栏目: Experience exchange
- ##submission.dateSubmitted##: 04.11.2016
- ##submission.dateAccepted##: 04.11.2016
- ##submission.datePublished##: 30.03.2011
- URL: https://journal.rniito.org/jour/article/view/403
- DOI: https://doi.org/10.21823/2311-2905-2011-0-1-101-105
- ID: 403
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Patients with above knee amputation (AKA) face many challenges to mobility including difficulty with socket fit and fatigue due to high energy consumption. The aim of the Endo-Exo-Femur Prosthesis (EEFP) is to avoid problems at the interface between the sleeve of the socket-prosthesis and the soft tissue coat of the femur stump which often impedes an inconspicuous and harmonic gait. In 1999 we began using a transcutaneous, press-fit distal femoral intramedullary device whose most distal external aspect serves as a hard point for AKA prosthesis attachment. The bone guided prosthesis enables an advanced gait via osseoperception and leads to a decreased oxygen consumption of the patient. Thirty two patients underwent the procedure between 1999 and 2008. Their indication for surgery was persistent AKA prosthesis difficulties with a history of AKA for trauma. The paper presents the patient data regarding the design of the implant, the operative procedure, patient satisfaction, gait analysis and oxygen consumption.
参考
- Albrektsson, T. Osseointegration of bone implants. A review of an alternative mode of fixation / T. Albrektsson, B. Albrektsson // Acta Orthop. Scand. – 1987. – Vol. 58. N 5. – P.567–577.
- Albrektsson, T. Present clinical applications of osseintegrated percutaneous implants / T. Albrektsson, P.I. Branemark, M. Jacobsson, A. Tjellström // Plast. Reconstr. Surg. – 1987. –Vol. 79, N 5. – P. 721–731.
- Branemark, R. Osseointegration in skeletal reconstructions and rehabilitation: a review // R. Branemark, P.I. Branemark, B. Rydevik, R.R. Myers // J. Rehab. Res. Dev. – 2001. – Vol. 38, N 2. – P. 175–181.
- Clausen, A. Die I.S.P.-Endo-Exo-Femurprothese, Anwendung und Verlaufsbeobachtung sowie Anpassung des Implantatdesigns unter Berücksichtigung der Erkenntnisse mikrobiologischer und histologischer Untersuchungen an der Grenzzone, Orthopädische Klinik und Poliklinik der Ludwigs-Maximillians- Universität : Dissertation. – München, 2008. – 61 s.
- Grosse-Siestrup, C. Design criteria for percutaneous devices / C. Grosse-Siestrup, K. Affeld // J. Biomed. Mat. Rest. – 1984. – Vol. 18. – P. 357–382.
- Osseoperception and osseointegrated prosthetic limbs / K. Hagberg [et al.] // Psychoprosthetics / P. Gallagher, D. Desmond, M. MacLachlan. – London, 2008. – P. 131–140.
- Staubach, K.H. Die erste osteointegrierte perkutane Prothesenverankerung für Oberschenkelamputierte / K.H. Staubach, H. Grundei // Biomed. Technik. – 2001. – Bd. 46, H. 12. – S. 355–361.
- Steinhauer, E. Biomechanische Grundlagen der Implatatverankerung // Ossäre Integration / R. Gradinger, H. Gollwitzer. – Heidelberg, 2006. – S. 17–23
- Vergleichende statistisiche biomechanische Untersuchungen zu Tripoden. Oberflächenstrukturen zementfreier / W. Mittelmeier [et al.] // Endoprothesen. Z. Orthop. Ihre Grenzgeb. – 1999. – Bd. 137, H. 2. – P. 122–128.
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