Osseointegrated Prosthetic Limb for the treatment of lower limb amputations : Experience and outcomes.

Al Muderis, M; Lu, W; Li, JJ

Osseointegrated Prosthetic Limb for the treatment of lower limb amputations : Experience and outcomes.

Al Muderis, M Lu, W Li, JJ

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Publisher:: Springer
Publication Type:: Journal Article
Citation:: Der Unfallchirurg, 2017, 120, (4), pp. 306-311
Issue Date:: 2017-04

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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	Print
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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http://hdl.handle.net/10453/161194