Comparison of bone-anchored prostheses and socket prostheses for patients with a lower extremity amputation: a systematic review

Abstract

There is a need for a standard set of instruments. There was limited evidence that bone-anchored prostheses resulted in higher QoL, function and activity levels than socket prostheses, in patients with socket-related problems. Implications for Rehabilitation Use of bone-anchored prostheses in combination with intensive outpatient rehabilitation may improve QoL, function and activity level compared with socket prosthesis use in patients with a transfemoral amputation and socket-related problems. All clinicians and researchers involved with bone-anchored prostheses should use and publish data on QoL, function, activity and participation level. There needs to be an agreement on a standard set of instruments so that interventions for patients with a lower extremity amputation are assessed consistently.

Automated Characterization of Anthropomorphicity of Prosthetic Feet Fitted to Bone-Anchored Transtibial Prosthesis

“…[18][19][20][21][22][23][24][25][26][27][28][29] Therefore, better understanding of the impact of ankle stiffness on osseointegrated fixation could possibly contribute to reduce early loosening of fixation, mechanical failure of percutaneous and medullar parts of fixation, periprosthetic issues and infections that are yet to be fully satisfactorily resolved. [23,24,[30][31][32][33][34][35] Altogether, stiffness characterization might also assist in the development of specific guidelines for design and prescription of feet and ankle units for transtibial prostheses, the sole loading elements under the control of prosthetists that is also subjected to cost-benefit analyses by funders. [36,37]…”

Load characteristics following transfemoral amputation in individuals fitted with bone-anchored prostheses: a scoping review protocol

“…27,32, [77][78][79][80][81][82][84][85][86][87]95,100,102,104 They report loading values without consideration for the outcome of the intervention (e.g., type of fixation). 12,13,91,106,107 Consequently, determination of direct treatment effect is not presented.…”

Osseointegrated prosthesis for patients with an amputation

“…Activities are assessed with the timed up and go test and the 6‑minute walk test. For all patients, the pre–post outcome data and complications are recorded in a certified web-based data management system (https://nl.castoredc.com) [12]. Standard conventional radiographs are used to assess bone remodeling at 1 and 2 years after OIP surgery.…”

“…At this time, OIP treatment is applied to patients with problems that are related to the prosthesis socket [12]. Based on the favorable results with regard to security, mobility and quality of life, we expect an increasing number of patients eligible for OIP treatment to be treatable simultaneously with or directly after amputation, without socket adjustments.…”