Osseointegrated Prosthetic Limb for the treatment of lower limb amputations : Experience and outcomes.
- Publisher:
- Springer
- Publication Type:
- Journal Article
- Citation:
- Der Unfallchirurg, 2017, 120, (4), pp. 306-311
- Issue Date:
- 2017-04
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Full metadata record
Field | Value | Language |
---|---|---|
dc.contributor.author | Al Muderis, M | |
dc.contributor.author | Lu, W | |
dc.contributor.author | Li, JJ | |
dc.date.accessioned | 2022-09-01T06:04:06Z | |
dc.date.available | 2022-09-01T06:04:06Z | |
dc.date.issued | 2017-04 | |
dc.identifier.citation | Der Unfallchirurg, 2017, 120, (4), pp. 306-311 | |
dc.identifier.issn | 0177-5537 | |
dc.identifier.issn | 1433-044X | |
dc.identifier.uri | http://hdl.handle.net/10453/161194 | |
dc.description.abstract | BACKGROUND: Osseointegration has emerged over the past two decades as a dramatically different approach for the treatment of lower limb amputations, which involves direct attachment of the prosthesis to the skeletal residuum. This approach can address many of the socket-interface issues associated with socket prostheses which represent the current standard of care for amputees. The Osseointegrated Prosthetic Limb (OPL) is an osseointegration implant with a new design and improved features compared to other available implant systems. OBJECTIVES: To report on the experience and outcomes of using the OPL for osseointegrated reconstruction of lower limb amputations. MATERIALS AND METHODS: This is a retrospective study of 22 patients who received the OPL implant between December 2013 and November 2014. Clinical outcomes were obtained pre- and post-operatively, with results reported at the 1‑year follow-up. Outcome measures included the Questionnaire for persons with a Trans-Femoral Amputation (Q-TFA), Short Form Health Survey 36 (SF-36), Six-Minute Walk Test (6MWT), and Timed Up and Go (TUG). Adverse events were also recorded. RESULTS: Compared to the mean pre-operative values obtained while patients were using socket prostheses or were wheelchair-bound, the mean post-operative values for all four validated outcome measures were significantly improved. There were 15 episodes of minor infections in 12 patients, all of which responded to antibiotics. Soft tissue refashioning was performed electively on 6 patients. No other adverse events were recorded. CONCLUSIONS: The results demonstrate that osseointegration surgery using the OPL is a relatively safe and effective procedure for the reconstruction and rehabilitation of lower limb amputees. | |
dc.format | ||
dc.language | eng | |
dc.publisher | Springer | |
dc.relation.ispartof | Der Unfallchirurg | |
dc.relation.isbasedon | 10.1007/s00113-016-0296-8 | |
dc.rights | info:eu-repo/semantics/closedAccess | |
dc.subject | 1103 Clinical Sciences | |
dc.subject.mesh | Adult | |
dc.subject.mesh | Aged | |
dc.subject.mesh | Amputation | |
dc.subject.mesh | Amputation Stumps | |
dc.subject.mesh | Artificial Limbs | |
dc.subject.mesh | Evidence-Based Medicine | |
dc.subject.mesh | Exoskeleton Device | |
dc.subject.mesh | Female | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Leg | |
dc.subject.mesh | Male | |
dc.subject.mesh | Middle Aged | |
dc.subject.mesh | Osseointegration | |
dc.subject.mesh | Prosthesis Design | |
dc.subject.mesh | Prosthesis Implantation | |
dc.subject.mesh | Retrospective Studies | |
dc.subject.mesh | Treatment Outcome | |
dc.subject.mesh | Adult | |
dc.subject.mesh | Aged | |
dc.subject.mesh | Amputation | |
dc.subject.mesh | Amputation Stumps | |
dc.subject.mesh | Artificial Limbs | |
dc.subject.mesh | Evidence-Based Medicine | |
dc.subject.mesh | Exoskeleton Device | |
dc.subject.mesh | Female | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Leg | |
dc.subject.mesh | Male | |
dc.subject.mesh | Middle Aged | |
dc.subject.mesh | Osseointegration | |
dc.subject.mesh | Prosthesis Design | |
dc.subject.mesh | Prosthesis Implantation | |
dc.subject.mesh | Retrospective Studies | |
dc.subject.mesh | Treatment Outcome | |
dc.subject.mesh | Amputation Stumps | |
dc.subject.mesh | Leg | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Treatment Outcome | |
dc.subject.mesh | Amputation | |
dc.subject.mesh | Prosthesis Implantation | |
dc.subject.mesh | Retrospective Studies | |
dc.subject.mesh | Prosthesis Design | |
dc.subject.mesh | Artificial Limbs | |
dc.subject.mesh | Evidence-Based Medicine | |
dc.subject.mesh | Osseointegration | |
dc.subject.mesh | Adult | |
dc.subject.mesh | Aged | |
dc.subject.mesh | Middle Aged | |
dc.subject.mesh | Female | |
dc.subject.mesh | Male | |
dc.subject.mesh | Exoskeleton Device | |
dc.title | Osseointegrated Prosthetic Limb for the treatment of lower limb amputations : Experience and outcomes. | |
dc.type | Journal Article | |
utslib.citation.volume | 120 | |
utslib.location.activity | Germany | |
utslib.for | 1103 Clinical Sciences | |
pubs.organisational-group | /University of Technology Sydney | |
pubs.organisational-group | /University of Technology Sydney/Faculty of Engineering and Information Technology | |
pubs.organisational-group | /University of Technology Sydney/Faculty of Engineering and Information Technology/School of Biomedical Engineering | |
utslib.copyright.status | closed_access | * |
pubs.consider-herdc | false | |
dc.date.updated | 2022-09-01T06:04:04Z | |
pubs.issue | 4 | |
pubs.publication-status | Published | |
pubs.volume | 120 | |
utslib.citation.issue | 4 |
Abstract:
BACKGROUND: Osseointegration has emerged over the past two decades as a dramatically different approach for the treatment of lower limb amputations, which involves direct attachment of the prosthesis to the skeletal residuum. This approach can address many of the socket-interface issues associated with socket prostheses which represent the current standard of care for amputees. The Osseointegrated Prosthetic Limb (OPL) is an osseointegration implant with a new design and improved features compared to other available implant systems. OBJECTIVES: To report on the experience and outcomes of using the OPL for osseointegrated reconstruction of lower limb amputations. MATERIALS AND METHODS: This is a retrospective study of 22 patients who received the OPL implant between December 2013 and November 2014. Clinical outcomes were obtained pre- and post-operatively, with results reported at the 1‑year follow-up. Outcome measures included the Questionnaire for persons with a Trans-Femoral Amputation (Q-TFA), Short Form Health Survey 36 (SF-36), Six-Minute Walk Test (6MWT), and Timed Up and Go (TUG). Adverse events were also recorded. RESULTS: Compared to the mean pre-operative values obtained while patients were using socket prostheses or were wheelchair-bound, the mean post-operative values for all four validated outcome measures were significantly improved. There were 15 episodes of minor infections in 12 patients, all of which responded to antibiotics. Soft tissue refashioning was performed electively on 6 patients. No other adverse events were recorded. CONCLUSIONS: The results demonstrate that osseointegration surgery using the OPL is a relatively safe and effective procedure for the reconstruction and rehabilitation of lower limb amputees.
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