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Bone Joint J. 2016 Jul;98-B(7):952-60. doi: 10.1302/0301-620X.98B7.37547.

The Osseointegration Group of Australia Accelerated Protocol (OGAAP-1) for two-stage osseointegrated reconstruction of amputated limbs.

Author information

1
The Australian School of Advanced Medicine, Macquarie University, Suite 303 Level 3, 2 Technology Place, North Ryde, NSW, 2109, Australia.
2
Royal Brisbane Hospital, Level 7, Ned Hanlon Building Butterfield Street, Herston, Brisbane, QLD, 4029, Australia.
3
University of Notre Dame Australia, 160 Oxford Street, Sydney, NSW, 2010, Australia.
4
Norwest Private Hospital, Suite G3, 9 Norbrik Drive, Bella Vista, NSW, 2153, Australia.
5
Institute of Health and Biomedical Innovation at Queensland University of Technology, 60 Musk Avenue, Kevin Grove, Brisbane, 4059, Australia.

Abstract

AIMS:

This study describes the Osseointegration Group of Australia's Accelerated Protocol two-stage strategy (OGAAP-1) for the osseointegrated reconstruction of amputated limbs.

PATIENTS AND METHODS:

We report clinical outcomes in 50 unilateral trans-femoral amputees with a mean age of 49.4 years (24 to 73), with a minimum one-year follow-up. Outcome measures included the Questionnaire for persons with a Trans-Femoral Amputation, the health assessment questionnaire Short-Form-36 Health Survey, the Amputation Mobility Predictor scores presented as K-levels, 6 Minute Walk Test and timed up and go tests. Adverse events included soft-tissue problems, infection, fractures and failure of the implant.

RESULTS:

Our results demonstrated statistically significant improvements in all five outcome measures. A total of 27 patients experienced adverse events but at the conclusion of the study, all 50 were walking on osseointegrated prostheses.

CONCLUSION:

These results demonstrate that osseointegrated prostheses are a suitable alternative to socket-fit devices for amputees experiencing socket-related discomfort and that our strategy offers more rapid progress to walking than other similar protocols. Cite this article: Bone Joint J 2016;98-B:952-60.

KEYWORDS:

Bone-anchored prosthesis; Lower limb amputation; Lower limb reconstructive surgery; Osseointegration; Prosthetics; Rehabilitation

PMID:
27365474
DOI:
10.1302/0301-620X.98B7.37547
[Indexed for MEDLINE]

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