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Rehabilitation of individuals with bone-anchored prosthesis: state-of-the-art and challenges
Abstract   Peer reviewed

Rehabilitation of individuals with bone-anchored prosthesis: state-of-the-art and challenges

Laurent Frossard
Proceedings of the 2015 Australian Orthotic Prosthetic Association Congress
Australian Orthotic Prosthetic Association (AOPA) Congress: Enhancing Quality & Performance, 2015 (Adelaide, Australia, 25-Sep-2015–26-Sep-2015)
2015
url
https://www.aopa.org.au/conf2015View
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Abstract

Human Movement and Sports Science Public Health and Health Services osseointegration bone-anchored prosthesis amputation cost-utility
Individuals with limb amputation fitted with conventional socket-suspended prostheses often experience socket-related discomfort leading to a significant decrease in quality of life. Bone-anchored prostheses are increasingly acknowledged as viable alternative method of attachment of artificial limb. In this case, the prosthesis is attached directly to the residual skeleton through a percutaneous fixation. To date, a few osseointegration devices are commercially available, relying either on screw-type fixations or press-fit implants. Several devices are at different stages of development particularly in Europe and the US. Clearly, surgical procedures are currently blooming worldwide. Indeed, Australia and Queensland in particular have one of the fastest growing populations. Previous studies involving either screw-type implants or press-fit fixations for boneanchorage have focused on fragmented surgical and biomechanics aspects as well as specific clinical benefits and safety of the procedure. However, very few publications have synthetized this information and provided anoverview of the current developments in bone-anchored prostheses worldwide, let alone in Australia. The purposes of the presentation will be: 1. To provide an overview of the state-of-art developments in bone-anchored prostheses with as strong emphasis on various treatments (e.g., design of fixations, surgical procedures including double and single stages, rehabilitation and fitting) and the outcomes (e.g., benefits, risks including infection rate), 2. To present the current international developments of the procedures for boneanchored prostheses in terms of numbers of centers, number of cases and typical case-mix, and well as future opportunities and challenges. 3. To highlight the current role Australia is playing as a leader worldwide in terms of growing population, broadest range of case-mix, choices of fixations, development of reimbursement schemes, unique clinical outcome registry for evidence-based practice, cutting-edge research, consumer demand and general public interest.

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