Alsóvégtag-amputált érbetegek új protetizációs lehetôsége

kezdeti tapasztalataink az osseointegrációs technikával.

Translated title of the contribution: A new method for prosthetisation of vascular patients with lower limb amputation: initial experiences with osseointegration technique

Sándor Ferencz, Viktória Mangold, Katalin Dérczy, Ildikó Takács, Borbála Balatonyi, Szabolcs Horváth, Szaniszló Jávor, Rickard Brånemark, O. Horvath, E. Rőth, G. Wéber

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

INTRODUCTION/AIMS: Prostheses use for lower limb amputees is difficult, while the socket is hard, the prosthesis is heavy. Drawbacks of conventional prosthesis are mainly associated with the socket, therefore osseointegration technique is a promising solution, since it doesn't require a socket. Our aim was to introduce this technique in Hungary and extend indication for vascular patients. METHODS: The method includes two operative and one rehabilitation phases: during first operation a titanium screw is fixed into the femoral bone marrow cavity, this connects to an abutment, which also penetrates the skin, making a direct connection between the femur and the prosthesis during the second intervention. During rehabilitation the patient makes loading exercises and learns to walk with new prosthesis. RESULTS: This method was launched in Hungary in 2005. Two female amputees were operated on initially, their second surgery was performed in 2006 (when titanium screw was applied in the male patients, as well). Incorporation of titanium screw was exquisite, and rehabilitation was successful. One of our male patients died eight months after his first operation due to myocardial infarction. CONCLUSION: Based on our experiences, the osseointegration technique facilitates rehabilitation of vascular patients for prostheses use. Adequate follow-up and stable vascular diseases are not contraindications, although further clinical trials are needed to determine its indication.

Original languageHungarian
Pages (from-to)293-297
Number of pages5
JournalMagyar sebészet
Volume62
Issue number5
Publication statusPublished - Oct 2009

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Osseointegration
Amputation
Prostheses and Implants
Blood Vessels
Lower Extremity
Rehabilitation
Titanium
Amputees
Hungary
Blood Vessel Prosthesis
Thigh
Vascular Diseases
Femur
Bone Marrow
Myocardial Infarction
Clinical Trials
Exercise
Skin

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Ferencz, S., Mangold, V., Dérczy, K., Takács, I., Balatonyi, B., Horváth, S., ... Wéber, G. (2009). Alsóvégtag-amputált érbetegek új protetizációs lehetôsége: kezdeti tapasztalataink az osseointegrációs technikával. Magyar sebészet, 62(5), 293-297.

Alsóvégtag-amputált érbetegek új protetizációs lehetôsége : kezdeti tapasztalataink az osseointegrációs technikával. / Ferencz, Sándor; Mangold, Viktória; Dérczy, Katalin; Takács, Ildikó; Balatonyi, Borbála; Horváth, Szabolcs; Jávor, Szaniszló; Brånemark, Rickard; Horvath, O.; Rőth, E.; Wéber, G.

In: Magyar sebészet, Vol. 62, No. 5, 10.2009, p. 293-297.

Research output: Contribution to journalArticle

Ferencz, S, Mangold, V, Dérczy, K, Takács, I, Balatonyi, B, Horváth, S, Jávor, S, Brånemark, R, Horvath, O, Rőth, E & Wéber, G 2009, 'Alsóvégtag-amputált érbetegek új protetizációs lehetôsége: kezdeti tapasztalataink az osseointegrációs technikával.', Magyar sebészet, vol. 62, no. 5, pp. 293-297.
Ferencz S, Mangold V, Dérczy K, Takács I, Balatonyi B, Horváth S et al. Alsóvégtag-amputált érbetegek új protetizációs lehetôsége: kezdeti tapasztalataink az osseointegrációs technikával. Magyar sebészet. 2009 Oct;62(5):293-297.
Ferencz, Sándor ; Mangold, Viktória ; Dérczy, Katalin ; Takács, Ildikó ; Balatonyi, Borbála ; Horváth, Szabolcs ; Jávor, Szaniszló ; Brånemark, Rickard ; Horvath, O. ; Rőth, E. ; Wéber, G. / Alsóvégtag-amputált érbetegek új protetizációs lehetôsége : kezdeti tapasztalataink az osseointegrációs technikával. In: Magyar sebészet. 2009 ; Vol. 62, No. 5. pp. 293-297.
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