骨整合假肢的现状与展望△

Current status and prospect of osseointegrated prostheses

摘要:

骨整合假肢指与截肢端骨组织直接整合连接的假肢。近30 年来骨整合假肢技术快速发展，迄今为止，全球已经有数十家治疗中心以及超过1 千例患者使用骨整合假肢。相对于传统型假肢，骨整合假肢在其功能及舒适度上有着明显的优势。尽管当前骨整合假肢发展出不同的类型、固定方式及手术方法，但骨整合假肢仍然面对感染、假肢周围骨折等并发症及风险。因此骨整合假肢技术仍需要不断地完善与改进。本文主要论述了骨整合假肢的各种类型及特点，总结了骨整合假肢临床应用的优势及并发症，为今后进一步发展提供参考。

Abstract:

Osseointegrated prostheses refer to prostheses that are directly integrated with the amputated bone tissue. In the past 30years, osseointegrated prosthesis technique has developed rapidly, up to now, dozens of treatment centers have been established, and morethan 1 000 patients have used osseointegrated prostheses around the world. Compared with traditional prostheses, osseointegrated prosthe-ses have obvious advantages in their function and comfort. Although osseointegrated prostheses have been developed into different types,fixation methods and surgical methods, they still face complications and risks, such as infection and periprosthetic fractures. Therefore, os-seointegrated prosthesis techniques still need to be continuously improved. This article mainly discusses various types and characteristicsof osseointegrated prostheses, summarizes the advantages and disadvantages of them in clinical application to provides a reference for fur-ther development in the future.