Osseointegration for Amputees: Current Implants, Techniques, and Future Directions.

JBJS Rev · Mar 2020 · Review

Hoellwarth JS, Tetsworth K, Rozbruch SR, Handal MB, Coughlan A, Al Muderis M

Department of Orthopaedic Surgery, Macquarie University Hospital, Sydney, Australia

Orthopaedic Trauma Hand & Upper Extremity Foot & Ankle

SUMMARY — THE REDUCTIONReview of osseointegrated prostheses for amputees, which offer better mobility, satisfaction, and use than sockets; infection and periprosthetic fracture are the main risks but appear manageable.
Abstract, as published

Osseointegrated prostheses provide a rehabilitation option for amputees offering greater mobility, better satisfaction, and higher use than traditional socket prostheses. There are several different osseointegrated implant designs, surgical techniques, and rehabilitation protocols with their own strengths and limitations. The 2 most prominent risks, infection and periprosthetic fracture, do not seem unacceptably frequent or insurmountable. Proximal amputations or situations leading to reduced mobility are exceptionally infrequent. Osseointegrated implants can be attached to advanced sensory and motor prostheses.

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