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Osseointegration

Osseointegration

In partnership with Integrum and London International Patient Service (LIPS), we offer rehabilitation services following the launch of osseointegration surgery at the London Clinic.

Following amputation, prosthetic limbs are traditionally attached to the body via a prosthetic socket. This works well in many cases however, some patients experience difficulties such as excessive sweating, pain and general discomfort. Osseointegration offers a surgical method to directly attach the prosthesis to the bone via an implant, thus eliminating the need for a prosthetic socket.

What is Osseointegration?

Osseointegration offers a surgical method to directly attach the prosthesis to the bone via an implant, thus eliminating the need for a prosthetic socket. Pioneered by Dr Per-Ingvar Branemark in Sweden in the 1960s, the World’s first transfemoral osseointegration surgery was performed in 1990. Since then, Integrum has developed the OPRA™ (Osseointegrated Prostheses for the Rehabilitation of Amputees) Implant System which has been used by hundreds of amputees helping to improve their quality of life.

The OPRA™ Implant System for bone anchored prostheses serves as a stable, direct connection to the prosthetic limb. It is developed for both upper and lower limbs, and is the only system approved by the FDA in the USA. The system utilises a modular design consisting of three main parts that have been developed and refined based on many years of development and clinical research. The unique design ensures protection of the patient by avoiding bone fractures from accidental loads.

 

Fixture: Anchoring element inserted into the patient’s bone

Abutment: Skin penetrating connection attached to the fixture

Abutment Screw: A screw made of titanium alloy that locks the Abutment to the Fixture

For further information on the OPRA™ Implant System click here.

Clinical Evidence

With over 25 years’ experience, the OPRA™ implant system has been used by hundreds of amputees since the world’s first surgery in 1990, through using a bone-anchored prosthesis patients have experienced a revolutionary change that went beyond the functional gains, to improve quality of life1. Other clinically proven outcomes include:

  • Increased range of motion
  • Eliminated pressure, sores and pain caused by the socket
  • Improved sensory feedback (osseoperception)
  • Improved sitting comfort
  • Increased prosthetic use
  • Increased quality of life
  • Improved mobility

References:

  1. Lundberg, M., Hagberg, K., & Bullington, J. (2011). My prosthesis as a part of me: a qualitative analysis of living with an osseointegrated prosthetic limb. Prosthet Orthot Int, 35(2), 207–14
  2. Brånemark, R., Berlin, Ö., Hagberg, K., Bergh, P., Gunterberg, B., & Rydevik, B. (2014). A novel osseointegrated, percutaneous prosthetic system for treatment of patients with transfemoral amputation: A prospective study of 51 patients. Bone Joint J, 96-B(1), 106–113

Details of the scientific peer-reviewed articles published in international journals can be found here –https://integrum.se/scientific-data-resources/