Area of Science:

• Orthopedic Surgery
• Biomedical Engineering
• Rehabilitation Medicine

Background:

• Osseointegrated implants provide a direct skeletal attachment for external prostheses.
• This surgical treatment is an alternative for transfemoral amputees unable to use or tolerate socket prostheses.
• It aims to alleviate problems associated with conventional socket use, such as poor fit, skin irritation, and discomfort.

Approach:

• This review summarizes the key aspects of osseointegrated implant surgery.
• It covers the indications and contraindications for patient selection.
• The review also details commonly used implant types and their reported clinical outcomes.

Key Points:

• Osseointegration bypasses the need for a socket, offering a stable skeletal connection.
• Patient selection is crucial, focusing on healthy transfemoral amputees with specific prosthetic challenges.
• Outcomes data highlight the potential benefits and risks associated with this advanced prosthetic solution.

Conclusions:

• Osseointegrated implants represent a significant advancement in prosthetic rehabilitation for select transfemoral amputees.
• Careful consideration of surgical indications, contraindications, and implant choice is essential for successful outcomes.
• This approach offers a viable solution for individuals experiencing persistent issues with traditional socket-based prostheses.