Osseointegration of the Upper Extremity.

Hand Clin · Jun 05 2026 · Review

Ramadan S, Souza JM

Departments of Plastic and Reconstructive Surgery & Orthopedic Surgery, The Ohio State University, Columbus

Hand & Upper Extremity

SUMMARY — THE REDUCTIONThis review outlines current osseointegration strategies for upper extremity amputations, highlighting their potential to overcome socket prosthesis limitations and improve functional control.
Abstract, as published

Socket-based prosthetics are associated with several problems in the context of upper extremity amputation. These negatively affect comfort and functionality and result in high prosthetic abandonment rates. The concept of osseointegration seeks to circumnavigate these issues by providing a stable interface and avoiding the need for a socket. In this article, we discuss the different osteointegration strategies for each upper extremity amputation level and briefly explore the reported clinical experience for each strategy. Finally, we discuss how progress in this field may help us get closer to the intuitive control of the native hand in the near future.

Featured in the 2026-09-20 issue.

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