| PRELIMINARY REPORT OF RECONSTRUCTION OF THE AMPUTATED FINGERS USING OSSEOINTEGRATED PROSTHESIS |
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Woo Kyung Kim,Yeong Jo Kim,Seung Ha Park |
| 새로운 인공수지를 이용한 수지재건술의 예비보고 |
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김우경,김영조,박승하 |
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| Abstract |
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The reconstruction of total or partial loss of the fingers, whether it is congenital or acquired, has been developed owing to advancement of the various types of local flap or free tissue transfer. Autologous reconstruction of the thumb and digits is usually preferred. However, in certain situations this is not possible. and reconstruction with an prosthesis becomes a attractive alternative. For the reason of the rapid development of plastic materials, it is possible today to make an prosthesis that is so lifelike that it is hard to distinguish from a normal finger even at a close distance. However, even the best looking prosthesis is of little or no value to the patient if the retention is less than perfect. It is essential that his prosthesis will stay in place regardless of activity. Since Branemark tried to attach the artificial teeth to osseointegrated implant for edentulous jaw, the use of osseointegration got over the attachment difficulties of prosthesis. Recently, the reconstruction of amputated extremity using osseointegration has been attempted, and possibility of the cosmetic and functional improvement has become known. From August 1996 to May 1997, eight cases of the amputated fingers in seven patients have undergone one of the procedures of osseointegrated reconstruction. The surgery was performed in two stages with three to four months interval between the first and second stage in order to establish osseointegration. In the first stage, the titanium implant was inserted to a phalangeal bone under local anesthesia. In the second stage, the abutment attached to the fixture through the penetrated skin. Three to four weeks after the second stage, the healing has normally reached the point at which the prosthesis can be made and attached to the implants using magnets. Although the final prosthesis application has not yet finished in all cases, we expect that osseointegrated finger prosthesis will make a good method of reconstruction of the amputated finger. |
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