Osseointegration is a new method for rehabilitating persons suffering from limb loss and overcomes many socket-related problems by directly attaching a prosthetic implant to the skeletal residuum. To date, the vast majority of osseointegration procedures worldwide have been performed in two stages, requiring up to 18 months for the entire rehabilitation process. This instructional course will provide a detailed overview on the key aspects of a new accelerated rehabilitation protocol we have adopted in our clinics, which dramatically reduces the time of rehabilitation to as little as 4-6 weeks. This was made possible via an improved implant design as well as new surgical techniques. The course will also report on the safety and efficacy outcomes of this single-stage osseointegration procedure performed in our centers.
A retrospective analysis on patients who experienced socket-related problems or difficulties in using socket prostheses and underwent osseointegrated reconstruction. Functional and quality of life outcome measures were analyzed preoperatively and postoperatively with minimum follow-up time of 2 years. Significant improvements for several outcome measures were detected, similar to the results obtained using the two-stage procedure. Interestingly, the occurrence of adverse events including the infection rate, refashion rate and revision rate were also significantly lower compared to the two-stage procedures.These preliminary results suggest that the new single-stage osseointegration approach can be considered safe and effective treatment for amputees experiencing socket-related discomfort. This protocol has the potential to shorten the rehabilitation time to 4-6 weeks which dramatically reduces the time of recovery.
Statement of the objective / learning objectives
Upon completion of this course, attendees will develop a good understanding on the surgical technique and rehabilitation program applied to enable a safe and effective single-staged osseointegrated reconstruction.