Conference presentation
Bone-anchored prosthesis: Current developments worldwide and challenges
World Congress of the International Society for Prosthetics and Orthotics (ISPO), XV (Lyon, France, 22-Jun-2015–25-Jun-2015)
2015
Abstract
Background Individuals with limb amputation fitted with conventional socket-suspended prostheses often experience socket related discomfort leading to a significant decrease in quality of life. Most of these concerns can be overcome by surgical techniques enabling bone-anchored prostheses. In this case, the prosthesis is attached directly to the residual skeleton through a percutaneous implant (e.g., screw type fixation, press-fit implant).[46, 48, 51, 52, 77, 78] The aim of this study is to present the current advances in these surgical techniques worldwide with a strong focus on the current challenges. Methods The current advances will be extracted from a systematic literature review including approximately 40 articles. The outcomes measured will include the estimation of the population worldwide as well as the complications (e.g., infection, loosening, fractures, and breakage) and the benefits (e.g., functional outcomes, health-related quality of life).[5-19, 51-53, 55, 57, 58, 62, 73, 79] Results The population of individuals fitted with a bone-anchored prosthesis is approximately 550 worldwide. Publications focusing on infection are sparse. However, the rate of superficial infection is estimated at 20%. Deep infection occurs rarely. Loosening and peri-prosthetic fractures are fairly uncommon. Breakage of implant parts occurs regularly mainly due to fall. All studies reported a significant improvement in functional level and overall quality of life. Conclusions Several commercial implants are in developments in Europe and US. The number of procedures is consistently growing worldwide. This technique might be primary way to fit a prosthesis to young and active amputees by 2025.
Details
- Title
- Bone-anchored prosthesis: Current developments worldwide and challenges
- Authors
- Laurent Frossard (Author) - University of the Sunshine Coast - Faculty of Science, Health, Education and Engineering
- Conference details
- World Congress of the International Society for Prosthetics and Orthotics (ISPO), XV (Lyon, France, 22-Jun-2015–25-Jun-2015)
- Date published
- 2015
- Copyright note
- Copyright © 2015 The Author. Reproduced here with permission of the copyright holder.
- Organisation Unit
- University of the Sunshine Coast, Queensland; School of Health and Sport Sciences - Legacy; School of Health and Behavioural Sciences - Legacy
- Language
- English
- Record Identifier
- 99449229902621
- Output Type
- Conference presentation
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