Osseointegration allows for the direct attachment of an external prosthesis to the skeleton through the surgical implantation of intramedullary device.
Historically osseointegration was first introduced as a two-stage procedure. This approach involved implanting a press fit intramedullary component followed by a 6-8 week period of passive healing. After this time a second surgery was needed to create an opening in the skin or “stoma” as it is commonly called, insertion of dual cone and external components. After this, rehabilitation would be commenced.
Since 2014 Professor Al Muderis modified the surgical technique and developed a new implant design which facilitated the ability to perform single-stage surgery without compromising outcomes. This has resulted in eliminating the need for a second operation and the associated risks, improved soft tissue management, faster rehabilitation, earlier return to work and lower overall costs.
Patients often inquire if their reason for amputation will make them unsuitable for osseointegration. While the majority of our case cohort have undergone amputation due to trauma, infection – often resulting from joint replacements – is the second leading cause.
It’s important to note that caution must be exercised when considering osseointegration for patients who have undergone radiation therapy at the site of amputation due to its impact on outcomes. Nevertheless, osseointegration can be a viable option for many amputees, offering significant benefits in terms of comfort, mobility, and reduced pain.
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Our mission is to help amputees achieve freedom of mobility and comfort.