Journal of Hand Surgery
Volume 35, Issue 7 , Pages 1130-1134, July 2010

Osseocutaneous Integration of an Intraosseous Transcutaneous Amputation Prosthesis Implant Used for Reconstruction of a Transhumeral Amputee: Case Report

Department of Plastic Surgery, Royal Free Hospital, Hampstead, London, UK; Department of Biomedical Engineering, University College London, London, UK; Royal National Orthopaedic Hospital, Stanmore, UK

Received 4 January 2010; accepted 22 March 2010. published online 14 June 2010.

Exoprosthetic replacement with an artificial limb is the main option for reconstruction after traumatic amputation of an upper limb. Direct skeletal attachment using an osseointegrated implant improves the ease of fixation of the exoprosthesis to the amputation stump. We now report the use of an intraosseous transcutaneous amputation prosthesis that is designed to achieve osseocutaneous integration. Osseocutaneous integration differs from osseointegration because the aim is to create a stable interface among the implant, the bone, and the soft tissues. This reduces the risk of soft tissue infection and troublesome discharge, which are problems encountered with current osseointegrated implants that focus largely on the bone–implant interface. We describe our experience with an intraosseous transcutaneous amputation prosthesis in a case of transhumeral amputation with 2 years of follow-up.

Key words: Amputation, bone anchor, ITAP, osseocutaneous, osseointegration, transhumeral

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 Some funding support was provided by Stanmore Implants Worldwide, the company that manufactured the ITAP implant (C.P. and G.B). G.B. is named as a co-inventor on the ITAP patent (U.S. 2007/0073412 A1) but receives no income or royalties related to this patent.

PII: S0363-5023(10)00384-9

doi:10.1016/j.jhsa.2010.03.037

Journal of Hand Surgery
Volume 35, Issue 7 , Pages 1130-1134, July 2010

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