Orthopaedic Surgery (Jun 2022)

Osseointegrated Metallic Implants for Finger Amputees: A Review of the Literature

  • Chiara Bregoli,
  • Carlo Alberto Biffi,
  • Kavin Morellato,
  • Emanuele Gruppioni,
  • Matteo Primavera,
  • Michele Rampoldi,
  • Mario Lando,
  • Roberto Adani,
  • Ausonio Tuissi

DOI
https://doi.org/10.1111/os.13296
Journal volume & issue
Vol. 14, no. 6
pp. 1019 – 1033

Abstract

Read online

Abstract Digital trauma amputations and digital agenesis strongly affect the functionality and aesthetic appearance of the hand. Autologous reconstruction is the gold standard of treatment. Unfortunately, microsurgical options and transplantation procedures are not possible for patients who present contraindications or refuse to undergo transplantation from the toe (e.g. toe‐to‐thumb transplantation). To address these issues, osseointegrated finger prostheses are a promising alternative. The functional assessments registered during follow‐up confirmed the promising outcomes of osseointegrated prostheses in the treatment of hand finger amputees. This review outlines (a) a detailed analysis of osseointegrated finger metallic components of the implants, (b) the surgical procedures suggested in the literature, and (c) the functional assessments and promising outcomes that demonstrate the potential of these medical osseointegrated devices in the treatment of finger amputees.

Keywords