Secondary closure

July 21, 2018

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Rehabilitation after leg amputation with transcutaneous osseointegrated prostheses

September 27, 2023Traditional prostheses after limb amputations allow only a part of the affected persons to achieve the desired and desired autonomous mobility. In analogy to dental implants, systems have been developed that allow the coupling of an exoprosthesis to a force carrier integrated in the bone and transmitted through the skin. Almost all of the problems associated with prosthetic limb replacement are due less to the functionality of the artificial joints and more to the prosthesis fixation systems that surround the residual limb. Therefore, starting in the 1990s, a concept analogous to dental implants was developed for limb replacement: A load bearing device permanently fixed in the bone and transmitted transcutaneously serves to couple the prosthesis.Such transcutaneous osseointegrated prosthesis systems (TOPS) represent a paradigm shift in care after limb amputation. They have become an indispensable part of the rehabilitation options, both in view of the high mobility gain and the significantly improved patient satisfaction. After initially proceeding in two stages and applying the stoma 4-6 weeks after insertion of the force carrier, the one-stage procedure has now proven successful. Depending on the bone quality of the soft tissue situation and the patient’s sensation, docking of the exoprosthesis by the orthopedic technician and subsequent mobilization can begin 3-6 weeks later. The interface between the endomodule and the exomodule is located between the conical sleeve and the knee connection adapter, which is firmly attached to the exoprosthesis and can be fixed or loosened by the patient with one hand. The knee joints are regularly equipped with microprocessors for control, as this minimizes the risk of falls. Between January 2003 and December 2021, the authors treated 244 patients (151 m/71 w) with a median age of 47.6 years (17-95 years), some bilaterally; long-term outcome data are available from 232 patients. To date, 13 femoral implants have been removed due to intramedullary infection, implant fatigue failure (after 7-14 years), chronic soft tissue problems, and patient request. TOPS reimplantation was successful in 4 of these patients. Author(s) Source Aschoff HH, Saß M, Mittlmeier Th, Fischer D-C Dtsch Arztebl 2023; 120(38): A-1518 / B-1304 (german original) This is a post of a scientific or business information. The information given here is checked thoroughly by “Implant-Register”. However we can´t be responsible for the content. The content usually is shortened to make it understandable for many. Read the linked original text if you are interested. Contact the publisher, if you have questions. You may inform us about changes of the information to improve the Register. Comments: n/alet us know [...] Read more...

Second Historic Transplant of Pig Heart into Patient

September 22, 2023A 58-year-old patient with terminal heart disease became the second patient in the world to receive a successful transplant of a genetically-modified pig heart on September 20. He is recovering well and communicating with his loved ones. This new patient had end-stage heart disease. He was deemed ineligible for a traditional transplant with a human heart, by UMMC and several other leading transplant hospitals, due to his pre-existing peripheral vascular disease and complications with internal bleeding. This transplant was the only option available for this patient who was facing near-certain death from heart failure. Author(s) Source Deborah Kotz University of Maryland, Medical Center, Press release 22.09.2023 This is a post of a scientific or business information. The information given here is checked thoroughly by “Implant-Register”. However we can´t be responsible for the content. The content usually is shortened to make it understandable for many. Read the linked original text if you are interested. Contact the publisher, if you have questions. You may inform us about changes of the information to improve the Register. Comments: n/alet us know [...] Read more...

Detect Endoprosthesis loosening at an early stage

September 21, 2023Our society is aging. So the number of people who need an artificial hip joint, for example, is also rising. This can have long-term consequences for the healthcare system. “In more than ten percent of cases, loosening of the implanted prosthesis occurs within 15 years after hip surgery” (Alexander Franck, MD). The time of detection plays a decisive role in planning a new operation that may be necessary: the earlier loosening is detected, the lower the complications in the event of a prosthesis replacement. “The presence of mechanical loosening or loosening due to infection significantly influences treatment and prognosis.” Using measurement data, Jan Lützelberger’s team hopes to be able to make a statement about early loosening in the future using an ultrasound-based measurement method. In addition, the method offers, in principle, the possibility of detecting the formation of a bacterial film on the prosthesis. Author(s) Source Cindy Dötschel Coburg University, Press releas 21.09.2023 (german original) This is a post of a scientific or business information. The information given here is checked thoroughly by “Implant-Register”. However we can´t be responsible for the content. The content usually is shortened to make it understandable for many. Read the linked original text if you are interested. Contact the publisher, if you have questions. You may inform us about changes of the information to improve the Register. Comments: n/alet us know [...] Read more...

Bioactive bone replacement from the 3D printer

September 11, 2023The treatment of bone tumors or severe bone injuries often poses major problems for medicine. Titanium, for example, is used as a bone replacement material. There is a risk that the rigid implant will loosen, leading to long-term problems. A second therapeutic approach, he said, is to remove bone material from the pelvis, for example, and transplant it to the damaged area. However, this is then additionally associated with another defect. (Hermann Seitz, University of Rostock). It has been known for some time that barium titanate, a piezoelectric ceramic, can be used to generate voltage potentials under mechanical pressure. The barium titanate is combined with so-called bioactive glasses. This material is known to release ions when it comes into contact with body fluids, thus developing its bioactivity. This material is mixed with barium titanate and then put into the 3D printer. “We want to have an implant that responds piezoelectrically to mechanical stimuli and is bioactive at the same time.” The goal, he says, is to have bone cells migrate into the porous implant from the adjacent tissue. Once colonization and vascularization have occurred, the implant remains in the body. The implant can be made to fit precisely after digital reconstruction in a 3D printer. It will be many years before this technology clears the hurdle into everyday clinical use. Author(s) Source Nadine Rudolph Press release Rostock University, 11.09.2023 (german original) This is a post of a scientific or business information. The information given here is checked thoroughly by “Implant-Register”. However we can´t be responsible for the content. The content usually is shortened to make it understandable for many. Read the linked original text if you are interested. Contact the publisher, if you have questions. You may inform us about changes of the information to improve the Register. Comments: n/alet us know [...] Read more...

New Companies

Organon

September 28, 2023unregisteredregister nowupdate records IMPLANTS U.S.A. product group subcutaneus implant products NEXPLANON® contact n/a This is a post of a nonregistered company. Information given here is checked thoroughly by “Implant-Register”. However we can not guarantee for any material, property or completeness. Products may not be available in all countries. Ask the company for such questions and give us the information to improve the Register. If there are pictures like logos or implants, they may be taken from the companies website. The publishing company may inform us to improve or hide them. [...] Read more...

MicroTransponder, Inc

September 27, 2023unregisteredregister nowupdate records IMPLANTS U.S.A. product group nervous system implant products Vivistim® works within the brain to help the body during stroke rehab improves the brain’s ability to relearn motor tasks contact n/a This is a post of a nonregistered company. Information given here is checked thoroughly by “Implant-Register”. However we can not guarantee for any material, property or completeness. Products may not be available in all countries. Ask the company for such questions and give us the information to improve the Register. If there are pictures like logos or implants, they may be taken from the companies website. The publishing company may inform us to improve or hide them. [...] Read more...

Sparta Biomedical®

September 27, 2023unregisteredregister nowupdate records IMPLANTS U.S.A. product group skeletal system implant products OrmiTM Galene bionic cartilage <preclinic phase> contact n/a This is a post of a nonregistered company. Information given here is checked thoroughly by “Implant-Register”. However we can not guarantee for any material, property or completeness. Products may not be available in all countries. Ask the company for such questions and give us the information to improve the Register. If there are pictures like logos or implants, they may be taken from the companies website. The publishing company may inform us to improve or hide them. [...] Read more...

New Implants

NEXPLANON®

September 28, 2023IMPLANT PROFILE unregisteredregister hereupdate records radioopaque the implant X-ray 01 indication hormone-releasing birth control implant for use by women to prevent pregnancy for up to 3 years 02 specific implant, for subdermal use only 03 contraindication(s) ◊◊◊◊◊ 04 implant description ◊◊◊◊◊ 05 specific attributes ◊◊◊◊◊ 06 material etonogestrel 07 implant surface n/a n/a 08 key literature ◊◊◊◊◊ 09 notes about the company n/a 10 approvals CE-Marking (?) FDA-Approval learn more about approvals, certifications, authorities No comments yet. You are welcome to send comments or experiences.HERE, if you received this implant. and HERE, if you placed this implant. Received this implant? You can register it HERE (fee).Placed this implant? You can register it HERE for your patient (fee). current as of 2023-09-25 unregistered / this page is not approved by the provider / unregistered implants have no professionnal lines or advertising This “Implant Profile” shows a non-registered implant. This is a most comprehensive description of the important parameters of an implant. Information given here are checked thoroughly by “Implant-Register” and is not approved by the manufacturer/the company. Illustrations refer to the company, if not shown differently. However we can not guarantee for any material or properties. Implants may not be available in all countries. If there are pictures like logos or implants, they are taken from the companies website. The publishing company may inform us to hide them. [...] Read more...

REFLECT™ Scoliosis Correction System

September 27, 2023IMPLANT PROFILE unregisteredregister hereupdate records the implant in situ 01 indication minimally invasive implant system designed to correct progressive scoliosis in young patients 02 specific it preservs motion, maintains stability, and allows for future modulated growth 03 contraindication(s) ◊◊◊◊◊ 04 implant description ◊◊◊◊◊ 05 specific attributes ◊◊◊◊◊ 06 material titanium, coated with HA 07 implant surface n/a <picture> 08 key literature ◊◊◊◊◊ 09 notes about the company n/a 10 approvals CE-Marking FDA-Approval learn more about approvals, certifications, authorities No comments yet. You are welcome to send comments or experiences.HERE, if you received this implant. and HERE, if you placed this implant. Received this implant? You can register it HERE (fee).Placed this implant? You can register it HERE for your patient (fee). current as of 2022-08-25 unregistered / this page is not approved by the provider / unregistered implants have no professionnal lines or advertising This “Implant Profile” shows a non-registered implant. This is a most comprehensive description of the important parameters of an implant. Information given here are checked thoroughly by “Implant-Register” and is not approved by the manufacturer/the company. Illustrations refer to the company, if not shown differently. However we can not guarantee for any material or properties. Implants may not be available in all countries. If there are pictures like logos or implants, they are taken from the companies website. The publishing company may inform us to hide them. [...] Read more...

Sientra saline sizer

May 13, 2023saline sizers (discontinued) products round moderate plus projection smooth surface high projection smooth surface teardrop shape, classic base moderate plus projection smooth surface teardrop shape, round base high projection smooth surface [...] Read more...

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