Evidence map›Paper›PMID 38770700›Full record

ArticleJournal of rehabilitation medicine2024

Long-term functional and clinical outcome of combined targeted muscle reinnervation and osseointegration for functional bionic reconstruction in transhumeral amputees: a case series.

Agnes Sturma, Anna Boesendorfer, Clemens Gstoettner, Benedikt Baumgartner, Stefan Salminger, Dario Farina, Rickard Brånemark, Ivan Vujaklija, Gerhard Hobusch, Oskar Aszmann

Abstract readCase Reports
In one paragraph

Article in Journal of rehabilitation medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Agnes Sturma *Degree Program Physiotherapy, Department of Health Sciences, University of Applied Sciences FH Campus Vienna, Vienna, Austria; Clinical Laboratory for Bionic Extremity Reconstruction, Department of Plastic, Reconstructive and Aesthetic Surgery, Medical University of Vienna, Vienna, Austria. agnes.sturma@meduniwien.ac.at.
Anna Boesendorfer *Clinical Laboratory for Bionic Extremity Reconstruction, Department of Plastic, Reconstructive and Aesthetic Surgery, Medical University of Vienna, Vienna, Austria. anna.boesendorfer@meduniwien.ac.at.
Clemens GstoettnerClinical Laboratory for Bionic Extremity Reconstruction, Department of Plastic, Reconstructive and Aesthetic Surgery, Medical University of Vienna, Vienna, Austria; Department of Plastic, Reconstructive and Aesthetic Surgery, Medical University of Vienna, Vienna, Austria. clemens.gstoettner@meduniwien.ac.at.
Benedikt BaumgartnerClinical Laboratory for Bionic Extremity Reconstruction, Department of Plastic, Reconstructive and Aesthetic Surgery, Medical University of Vienna, Vienna, Austria. benedikt.baumgartner@meduniwien.ac.at.
Stefan SalmingerAUVA Trauma Hospital Lorenz Böhler-European Hand Trauma Center, Vienna, Austria. stefan.salminger@auva.at.
Dario FarinaDepartment of Bioengineering, Imperial College London, London, UK. d.farina@imperial.ac.uk.
Rickard BrånemarkDepartment of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden; K. Lisa Yang Center for Bionics, MIT Media Lab, Massachusetts Institute of Technology, Cambridge, USA. rickard.branemark@orthop.gu.se.
Ivan VujaklijaDepartment of Electrical Engineering and Automation, Aalto University, Espoo, Finland. ivan.vujaklija@aalto.fi.
Gerhard HobuschDepartment of Orthopedics and Trauma Surgery, Medical University of Vienna, Vienna, Austria. gerhard.hobusch@meduniwien.ac.at.
Oskar AszmannClinical Laboratory for Bionic Extremity Reconstruction, Department of Plastic, Reconstructive and Aesthetic Surgery, Medical University of Vienna, Vienna, Austria; Department of Plastic, Reconstructive and Aesthetic Surgery, Medical University of Vienna, Vienna, Austria. oskar.aszmann@meduniwien.ac.at.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo describe and evaluate the combination of osseointegration and nerve transfers in 3 transhumeral amputees.

designCase series. PATIENTS: Three male patients with a unilateral traumatic transhumeral amputation.

methodsPatients received a combination of osseointegration and targeted muscle reinnervation surgery. Rehabilitation included graded weight training, range of motion exercises, biofeedback, table-top prosthesis training, and controlling the actual device. The impairment in daily life, health-related quality of life, and pain before and after the intervention was evaluated in these patients. Their shoulder range of motion, prosthesis embodiment, and function were documented at a 2- to 5-year follow-up.

resultsAll 3 patients attended rehabilitation and used their myoelectric prosthesis on a daily basis. Two patients had full shoulder range of motion with the prosthesis, while the other patient had 55° of abduction and 45° of anteversion. They became more independent in their daily life activities after the intervention and incorporated their prosthesis into their body scheme to a high extent.

conclusionThese results indicate that patients can benefit from the combined procedure. However, the patients' perspective, risks of the surgical procedures, and the relatively long rehabilitation procedure need to be incorporated in the decision-making.

Indexed as

AmputeesArtificial LimbsNerve TransferOsseointegrationRange of Motion, ArticularActivities of Daily LivingAdultAmputation, TraumaticBionicsHumansHumerusMaleMiddle AgedMuscle, SkeletalQuality of LifeTreatment Outcome

Identifiers

PMID38770700
PMCPMC11135336

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.