Open AccessOsseointegrated trans-femoral amputation prostheses
Author(s) -
Kerstin Hagberg,
Rickard Brånemark,
Björn Gunterberg,
Björn Rydevik
Publication year - 2008
Publication title -
prosthetics and orthotics international
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 0.729
H-Index - 52
eISSN - 1746-1553
pISSN - 0309-3646
DOI - 10.1080/03093640701553922
Subject(s) - amputation , prosthesis , medicine , osseointegration , quality of life (healthcare) , rehabilitation , physical therapy , population , implant , surgery , nursing , environmental health
This is the first report on prospective outcome for individuals treated with bone-anchored trans-femoral amputation prostheses (OI-prostheses) using the method of osseointegration. The aim was to analyze general and condition-specific health related quality of life (HRQL) at 2-year follow-up as compared to the preoperative situation. The study population consists of the first 18 consecutively treated patients (8 male/10 female, mean age 45 years) in a clinical investigation with amputations mainly caused by trauma and tumour. At inclusion the mean time since the amputation was 15 years (10 months - 33 years). Two self-report questionnaires were answered preoperatively and at follow-up: the SF-36 Health Survey (SF-36) and the Questionnaire for persons with a Transfemoral Amputation (Q-TFA). At follow-up 17/18 patients used the OI-prosthesis; one did not due to pain and loosening of the implant. Four of the scales of the SF-36 (Physical Functioning, Role Functioning Physical, Bodily Pain and Physical Component Score) and all four scores of Q-TFA (Prosthetic Use, Prosthetic Mobility, Problems and Global Health) were statistically significantly improved at follow-up showing superior general physical HRQL, increased prosthetic use, better prosthetic mobility, fewer problems and a better global amputation situation. Thus, osseointegrated prostheses represent a promising development in the rehabilitation of individuals with transfemoral amputation and increase their quality of life.