[Endo-exo prostheses : Osseointegrated percutaneously channeled implants for rehabilitation after limb amputation].

Journal: Der Unfallchirurg
Published Date:

Abstract

BACKGROUND: In 1999 the first endo-exo femoral prosthesis (EEFP) was implanted in Germany in a patient who had suffered a traumatic above-knee amputation. This procedure involves a skeletally anchored exoprosthetic device that is inserted into the residual femur. The distal part of the implant protrudes transcutaneously and allows attachment to a prosthetic limb which provides direct force transmission to the external prosthetic components. The technique originated from dental implantology and helps to avoid possible problems resulting from treatment of amputated limbs using socket prostheses. In the meantime, durability times of over 10 years have now helped to invalidate the initially well-founded reservations held against the procedure.

Authors

  • H-H Aschoff
    Klinik für Plastische, Hand- und Rekonstruktive Chirurgie, Sana Kliniken Lübeck, Kronsforder Allee 71-73, 23560, Lübeck, Deutschland. horst.aschoff@sana.de.
  • D-L Juhnke
    Klinik für Allgemein-, Gefäß- und Viszeralchirurgie, Martin Luther Krankenhaus Berlin, Berlin, Deutschland.