Osseointegration: A New Era in Prosthetic Limb Attachment

What Is Osseointegration?

Osseointegration is a surgical procedure that directly anchors a titanium implant into the bone of an amputated limb. Unlike traditional socket-based prosthetics, which rely on the soft tissue of the residual limb, osseointegration allows a prosthetic limb to attach securely to the skeleton through an implant that extends through the skin. This creates a direct structural and functional link between the prosthesis and the body.

Benefits of Osseointegration

• Improved Comfort: Eliminates the pain, skin breakdown, and discomfort associated with socket prostheses.
• Greater Mobility: Allows for more natural limb movement and improved gait mechanics.
• Enhanced Proprioception: Provides sensory feedback from the prosthetic limb, known as "osseoperception."
• Better Fit & Stability: Avoids problems with volume fluctuations in the residual limb.
• Faster Donning and Doffing: Attaching and removing the prosthesis is quick and easy—no liners, socks, or suction systems required.

Who Is a Candidate?

Osseointegration may be an option for individuals with:

• Above and below-knee amputations (trans-femoral or trans-tibial)
• Above and below-elbow amputations (trans-humeral or trans-forearm)
• Poor socket tolerance or chronic skin issues
• Active lifestyles that demand higher functionality
• Complex Regional Pain Syndrome (CRPS) and other neuropathic symptoms

Each case is individually evaluated to ensure optimal safety and success.

The Procedure

At Summit Orthopaedics, we use press-fit implants that are typically performed in a one stage procedure.

1. Implantation: A titanium implant is surgically inserted into the remaining bone. If indicated, neuromas and excessive soft tissue are managed during the same operation.
2. Progressive Weight Bearing: Use of the single-stage press-fit implant allows for almost immediate initiating of weight bearing at 4-6 weeks after implantation.
3. Prosthetic Attachment: Once fully weight bearing with a lightweight stomper, a full prosthetic can be attached for regular use.

Rehabilitation and physical therapy are essential parts of the process to build strength, coordination, and confidence.

Why Summit Orthopaedics?

Our team, led by Stephen Wallace, MD and Britton Frome, MD, consists of orthopaedic surgeons, prosthetists, physical therapists, and amputee liaisons.  The multidisciplinary approach allows us to deliver personalized care and state-of-the-art outcomes. We are committed to helping our patients regain mobility, independence, and quality of life through the advanced osseointegration techniques.

Ready to take the next step?
Schedule a consultation with our osseointegration specialists and explore whether this life-changing technology is right for you.