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Osseointegrated Metallic Implants for Finger Amputees: A Review of the Literature
Authors:Chiara Bregoli  Carlo Alberto Biffi  Kavin Morellato  Emanuele Gruppioni  Matteo Primavera  Michele Rampoldi  Mario Lando  Roberto Adani  Ausonio Tuissi
Affiliation:1. Unit of Lecco, CNR ICMATE, National Research Council, Lecco Italy ; 2. INAIL Centro Protesi, Bologna Italy ; 3. Hand and Reconstructive Surgery Unit, Centro Traumatologico Ortopedico A. Alesini, Rome Italy ; 4. Department of Hand surgery and Microsurgery, University Hospital of Modena, Modena Italy
Abstract:Digital trauma amputations and digital agenesis strongly affect the functionality and aesthetic appearance of the hand. Autologous reconstruction is the gold standard of treatment. Unfortunately, microsurgical options and transplantation procedures are not possible for patients who present contraindications or refuse to undergo transplantation from the toe (e.g. toe‐to‐thumb transplantation). To address these issues, osseointegrated finger prostheses are a promising alternative. The functional assessments registered during follow‐up confirmed the promising outcomes of osseointegrated prostheses in the treatment of hand finger amputees. This review outlines (a) a detailed analysis of osseointegrated finger metallic components of the implants, (b) the surgical procedures suggested in the literature, and (c) the functional assessments and promising outcomes that demonstrate the potential of these medical osseointegrated devices in the treatment of finger amputees.
Keywords:bone screw   digital amputation   microsurgery   osseointegrated implant   prosthetic finger   thumb
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