Osseointegrated Percutaneous Prosthetic System for the Treatment of Patients With Transfemoral Amputation: A Prospective Five-year Follow-up of Patient-reported Outcomes and Complications.
Adult
Aged
Amputation, Surgical
Bone-Anchored Prosthesis
/ adverse effects
Femur
/ surgery
Follow-Up Studies
Humans
Middle Aged
Patient Reported Outcome Measures
Prospective Studies
Prosthesis Failure
/ etiology
Prosthesis-Related Infections
/ etiology
Quality of Life
Reoperation
Time Factors
Young Adult
Journal
The Journal of the American Academy of Orthopaedic Surgeons
ISSN: 1940-5480
Titre abrégé: J Am Acad Orthop Surg
Pays: United States
ID NLM: 9417468
Informations de publication
Date de publication:
15 Aug 2019
15 Aug 2019
Historique:
pubmed:
15
12
2018
medline:
29
1
2020
entrez:
15
12
2018
Statut:
ppublish
Résumé
Direct skeletal attachment of prostheses has previously been shown to improve patient-reported outcome (PRO) measures of individuals with transfemoral amputation (TFA) at 2-year follow-up. This prospective study reports the outcomes at 5-year follow-up. A total of 51 patients (55 legs) with TFA were included in a prospective study. Complications, success rate, and PRO measures were followed for 5 years. The cumulative fixture survival rate at 5 years was 92%, and the revision-free survival rate was 45%. Thirty-four patients had 70 superficial infections. Eleven patients had 14 deep infections. Fifteen patients had mechanical complications. Four fixtures were removed (ie, one deep infection and three loosening). PRO measures showed significant improvements including more use of the prosthesis, better mobility, fewer issues, and improved physical health-related quality of life (all P < 0.0001) compared with baseline. Individuals with TFA at 5-year follow-up had significant improvement in PRO measures, but increases in deep infections and mechanical complications are concerning.
Identifiants
pubmed: 30550396
doi: 10.5435/JAAOS-D-17-00621
pmc: PMC6760652
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
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