Figure 12).

A to C Using osseointegration, a titanium fixture is surgically attached to the bone at the site of amputation which enables a myoelectric prosthesis to be connected reliably. The direct attachment eliminates the need for a socket and ensures stable fixation, thereby improving function. Image reprinted with permission from Elsevier: Kang NV, Pendegrass C, Marks, L, Blunn G. Osseocutaneous integration of an intraosseous transcutaneous amputation prosthesis implant used for reconstruction of a transhumeral amputee: Case report. J Hand Surg Am 2010;35:1130–4