التفاصيل البيبلوغرافية
| العنوان: |
Bone-anchored prostheses for lower limb amputation in a French cohort with 1–15 years of follow-up: implant survival rates, mechanical complications, and reported outcomes. |
| المؤلفون: |
Thouvenin, Clara, Bertrand-Marchand, Marion, Klotz, Rémi, Puges, Mathilde, Fabre, Thierry, Delgove, Anaïs |
| المصدر: |
European Journal of Orthopaedic Surgery & Traumatology; Feb2024, Vol. 34 Issue 2, p885-892, 8p |
| مصطلحات موضوعية: |
LEG surgery, PROSTHETICS, ARTIFICIAL implants, HEALTH outcome assessment, SURGICAL complications, RETROSPECTIVE studies, SURVIVAL rate, TREATMENT effectiveness, INFECTION, KAPLAN-Meier estimator, QUESTIONNAIRES, AMPUTATION, ADVERSE health care events, LONGITUDINAL method, OSSEOINTEGRATION |
| مصطلحات جغرافية: |
FRANCE |
| مستخلص: |
Purpose: To evaluate the implant survival rate, mechanical complications, and reported patient outcomes of bone-anchored prostheses for patients with lower limb amputation in France after 1–15 years of follow-up. Methods: This retrospective cohort study included patients who underwent surgery at a single center in France between 2007 and 2021. The primary outcomes were the implant survival rate and functional scores assessed by the Questionnaire for Transfemoral Amputees (Q-TFA). Secondary outcomes were adverse events that occurred during follow-up. Results: The cohort consisted of 20 bone-anchored prostheses in 17 patients. The main level of amputation was transfemoral (82%, n = 14). The main reason for amputation was trauma (n = 15). The mean age at amputation was 32 (range 15–54) years, and the mean age at the first stage of osseointegration was 41 (range 21–58) years. The Kaplan–Meier survival curve showed respective survival rates of 90%, 70%, and 60% at 2, 10, and 15 years. All Q-TFA scores were significantly improved at last the follow-up. Eleven patients (65%) experienced mechanical complications. In total, 37 infectious events occurred in 13 patients (76%), mainly comprising stage 1 infections (68%, n = 25). Only two cases of septic loosening occurred (12%), leading to implant removal. Conclusion: This is the first French cohort of bone-anchored prostheses and among the series with the longest follow-up periods. The findings indicate that bone-anchored prostheses are safe and reliable for amputee patients who have difficulties with classic prostheses. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
