Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 Dec;146(6):1394-1403.
doi: 10.1097/PRS.0000000000007364.

Osseointegration of Extremity Prostheses: A Primer for the Plastic Surgeon

Jason M Souza  1 , Lauren M Mioton  1 , Colin J Harrington  1 , Benjamin K Potter  1 , Jonathan A Forsberg  1
Affiliations

Osseointegration of Extremity Prostheses: A Primer for the Plastic Surgeon

Jason M Souza et al. Plast Reconstr Surg. 2020 Dec.

Abstract

Interest in amputation surgery has increased in conjunction with rising public awareness about amputee care. To date, plastic surgeons have impacted the quality of life and functional potential of amputees through novel strategies for sensory feedback and prosthesis control and various techniques for neuroma treatment and prevention. Osseointegration, which involves the direct skeletal attachment of a prosthesis to bone, has the ability to further maximize amputee function. There exists a critical role for plastic surgeons to help optimize techniques for extremity osseointegration through improved wound care and soft-tissue management. An overview of current osseointegrated prostheses and their associated limitations, and potential avenues through which plastic surgeons can help mitigate these challenges, are discussed in this article.

PubMed Disclaimer

Comment in

References

    1. Souza JM, Cheesborough JE, Ko JH, Cho MS, Kuiken TA, Dumanian GA. Targeted muscle reinnervation: A novel approach to postamputation neuroma pain. Clin Orthop Relat Res. 2014; 472:2984–2990
    1. Mioton LM, Dumanian GA. Targeted muscle reinnervation and prosthetic rehabilitation after limb loss. J Surg Oncol. 2018; 118:807–814
    1. Woo SL, Kung TA, Brown DL, Leonard JA, Kelly BM, Cederna PS. Regenerative peripheral nerve interfaces for the treatment of postamputation neuroma pain: A pilot study. Plast Reconstr Surg Glob Open. 2016; 4:e1038
    1. Clites TR, Herr HM, Srinivasan SS, Zorzos AN, Carty MJ. The Ewing amputation: The first human implementation of the agonist-antagonist myoneural interface. Plast Reconstr Surg Glob Open. 2018; 6:e1997
    1. Aman M, Festin C, Sporer ME, et al. Bionic reconstruction: Restoration of extremity function with osseointegrated and mind-controlled prostheses. Wien Klin Wochenschr. 2019; 131:599–607