Background: Osseointegrated implants are an alternative for prosthetic attachment individuals unable to wear a socket following amputation. The concept of integrated metal implant communicating with the external environment raises substantial concern about risk ascending infection. We report on safety press-fit osseointegrated currently used in Australia and Netherlands. Methods: prospectively recorded all adverse events patients transfemoral amputation who were managed osseointegration...

Lower limb amputations have detrimental influences on the quality of life, function and body image affected patients. Following amputation, prolonged rehabilitation is required for patients to be fitted with traditional socket prostheses, many experience symptomatic socket-residuum interface problems which lead reduced prosthetic use life. Osseointegration has recently emerged as a novel approach reconstruction amputated limbs, overcomes socket-related by directly attaching prosthesis...

This study describes the Osseointegration Group of Australia's Accelerated Protocol two-stage strategy (OGAAP-1) for osseointegrated reconstruction amputated limbs.We report clinical outcomes in 50 unilateral trans-femoral amputees with a mean age 49.4 years (24 to 73), minimum one-year follow-up. Outcome measures included Questionnaire persons Trans-Femoral Amputation, health assessment questionnaire Short-Form-36 Health Survey, Amputation Mobility Predictor scores presented as K-levels, 6...

Chronic radicular pain can occur after disc pathology and failed back surgery. An evidence-based effective therapeutic option is not available nor does a gold standard exist.A randomized controlled trial to analyze the clinical efficacy of percutaneous epidural lysis adhesions in chronic pain.Prospective placebo interventional trial. Power calculation based on feasibility trial.Medical university centers.Within 4 years total 381 patients with lasting longer than months which respond...

Aims Osseointegrated prosthetic limbs allow better mobility than socket-mounted prosthetics for lower limb amputees. Fractures, however, can occur in the residual limb, but they have rarely been reported. Approximately 2% to 3% of amputees with prostheses may fracture within five years. This is first study which directly addresses risks and management periprosthetic osseointegration fractures Methods A retrospective review identified 518 procedures were undertaken 458 patients between 2010...

Abstract. Introduction: Transcutaneous osseointegration following amputation (TOFA) confers better mobility and quality of life for most patients versus socket prosthesis rehabilitation. Peri-TOFA infection remains the frequent complication lacks an evidence-based diagnostic algorithm. This study's objective was to investigate preoperative factors associated with positive intraoperative cultures among suspected having peri-TOFA in order create Methods: We conducted a retrospective study 83...

Background: Osseointegration is an alternative treatment for amputees who are unable to wear or have difficulty wearing a socket prosthesis. Although the majority of limb amputations due vascular disease, such been perceived as contraindication osseointegration surgery. We report outcomes osseointegrated reconstruction in series 5 patients with amputation peripheral disease. Methods: Five transtibial and history disease received implant from 2014 2015 were followed 12 months. Clinical...

Osseointegrated implants are an alternative for prosthetic attachment in individuals with amputation who unable to wear a socket. However, the load transmitted through osseointegrated fixation residual tibia and knee joint can be unbearable those transtibial arthritis. We report on feasibility of combining total replacement (TKR) implant attachment.We retrospectively reviewed all 4 cases (aged 38-77 years) amputations managed osseointegration TKR 2012-2014. The below-the-knee prosthesis was...

Introduction Lower extremity amputation uniformly impairs a person’s vocational, social and recreational capacity. Rehabilitation in traditional socket prostheses (TSP) is associated with spectrum of complications involving the socket-residuum interface which lead to reduced prosthetic use quality life. Osseointegration has recently emerged as novel concept overcome these by eliminating this anchoring prosthesis directly bone. Though TSPs affect both transfemoral transtibial amputees, been...

Importance Transcutaneous osseointegration post amputation (TOPA) creates a direct linkage between residual bone and an external prosthetic limb, providing superior mobility quality of life compared with socket prosthesis. The causes potential risks mortality after TOPA have not been investigated. Objective To investigate the association assess risk factors. Design, Setting, Participants This observational cohort study included all patients lower extremity who underwent November 1, 2010,...

Most patients use a traditional socket prosthesis (TSP) to ambulate independently following transtibial amputation. However, these generally require repairs more than twice annually and an entirely new every two years. Furthermore, amputation have four times the skin ulceration rate of transfemoral patients, prompting frequent refitting diminished use. Trans-Tibial osseointegration (TTOI) is promising technique address limitations TSP, but remains understudied with only cohorts totaling 41...

Objective To report on the management and outcomes of two dogs treated with osseointegrated prosthesis for pelvic‐limb salvage. Study Design Short case series. Sample Population Two client‐owned large breed distal tibial amputation due to neonatal iatrogenic trauma. Methods Preoperative computed tomography (CT) was performed assess medullary length width. A custom‐made intramedullary implanted attached a 3D‐printed external simulating foot. Postoperative care included bandaging regular...

Background: Pamidronate therapy is increasingly used in children for the treatment of low bone mineral density and increased fragility resulting from a spectrum conditions. The aim present study was to determine describe radiographic features associated with cyclical bisphosphonate growing skeleton. Methods: A retrospective review radiographs thirty-five who had been managed pamidronate carried out. physeal growth rates were estimated by measuring band intervals on corresponding time between...

Management of total knee replacement (TKR) infection may sometimes prompt fusion (KF) or transfemoral amputation (TFA), both associated with low mobility and quality life (QOL). Transcutaneous osseointegration for amputees provides superior QOL vs traditional socket prostheses but has not been studied patients a history infected TKR. This study investigates the following hypothesis: Patients who have had TFA KF TKR achieve better osseointegration.A retrospective evaluation prospectively...

Safety concerns surrounding osseointegration are a significant barrier to replacing socket prosthesis as the standard of care following limb amputation. While implanted osseointegrated prostheses traditionally occur in two stages, one-stage approach has emerged. Currently, there is no existing comparison outcomes these different approaches. To address safety concerns, this study sought determine whether procedure associated with fewer adverse events than two-staged approach.A comprehensive...

Background: Transcutaneous osseointegration for amputees (TOFA) has proven to consistently, significantly improve the quality of life and mobility vast majority amputees, as compared with use a socket prosthesis 1,2 . As any implant, situations such infection, aseptic loosening, or implant fracture can occur, which may necessitate hardware removal. Although it eventually date no ever required removal in setting periprosthetic fracture. Since TOFA implants are designed facilitate robust bone...

Objectives: To examine periprosthetic bone remodeling among the recipients of 2 types lower-limb osseointegrated systems, Integral Leg Prosthesis (ILP) and Osseointegration Prosthetic Limb (OPL) type A, over a >24-month period. Design: Retrospective cohort study. Setting: Private hospital, with specialized osseointegration unit. Patients: Twenty-eight patients transfemoral amputations were fitted systems. Of these patients, 15 received ILP 13 OPL implant. Intervention: Radiographic...

Avulsion fractures of the lesser trochanter in adolescents are uncommon. This injury is a result sudden forceful contraction iliopsoas tendon. It usually occurs during vigorous sport activity. Historically, these injuries were treated non-operatively, with guarded results, including weak hip flexor strength and non-union, hindering return to competitive sport. We report series three arthroscopically assisted fracture fixations performed by senior author, using cannulated screw fixation two...

Osseointegrated implants are a suitable alternative for prosthetic attachment in individuals with transfemoral amputation, who unable to wear socket. However, the small bone-implant contact area, reduced muscular leverage, and osteoporosis contraindicate osseointegrated implant use amputees short residuum. We report on feasibility of combining total hip replacement (THR) an attachment. retrospectively reviewed cases three underwent osseointegration THR between 2013 2014. In two-stage...