gms | German Medical Science

14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

Article

Send article

Osseointegrated thumb prosthesis as an alternative for microsurgical thumb reconstruction

Meeting Abstract

Search Medline for

  • Johannes Mayer - CD Laboratory for Restoration of Extremity Function, Med. University Vienna, Vienna, Austria; Eberhard Karls University Tuebingen, Tübingen, Germany
  • Stefan Salminger - CD Laboratory for Restoration of Extremity Function, Division of Plastic and Reconstructive Surgery, Medical University of Vienna, Vienna, Austria
  • Oskar C. Aszmann - CD Laboratory for Restoration of Extremity Function, Division of Plastic and Reconstructive Surgery, Medical University of Vienna, Vienna, Austria
  • Agnes Sturma - CD Laboratory for Restoration of Extremity Function, Medical University of Vienna, Vienna, Austria

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-1930

doi: 10.3205/19ifssh0511, urn:nbn:de:0183-19ifssh05118

Published: February 6, 2020

© 2020 Mayer et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

Text

Objectives/Interrogation: Thumb amputation after traumatic injury or due to tumor resection leads to significant impairment of hand function, as well as psychological burden.

Various techniques have been described, ranging from pollicization, phalangisation to complex microsurgical procedures, such as toe-to-thumb transfer.

An osseointegrated thumb prosthesis via titanium fixation to the residual bone can provide a functionally and aesthetically viable reconstruction alternative for patients in which microsurgical techniques are not indicated. This retrospective study compares osseointegrated thumb prosthesis to other secondary reconstructive procedures (pollicization, toe to thumb transfer and lengthening).

Methods: We present one male patient who was treated with an osseointegrated thumb prosthesis 12 months after thumb amputation in the metacarpal joint because of an epitheloid cell sarcoma. There was no specific rehabilitation necessary. The outcome measures 9 and 24 months postoperatively included SHAP Test and were compared to patients with other secondary reconstructive procedures (pollicization, toe to thumb transfer and lengthening).

Results and Conclusions: In the performed SHAP Test (Southampton Hand Assessment Procedure) the patient with the osseointegrated thumb prosthesis reached 98 points. This correlates with standard values of healthy population. Furthermore the patient was very satisfied with the aesthetic appearance of the prosthesis.

No complication (e.g. wound infection, implant loosening) were observed 24 months postoperatively.

An osseointegrated thumb prosthesis via titanium fixation to the residual bone can provide a functionally and aesthetically viable reconstruction alternative for patients in which microsurgical techniques are not indicated. Due to a stable fixation of the prosthetic finger to the bone, restoration of some sensory feedback with osseoperception can be achieved.