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Contact the Amputee Coalition at 888/267-5669 or 47

Beauty is everywhere.

Find your best look, your best fit, your best life.

IF YOU’RE CONSIDERING a new or replacement prosthesis, you’ll want to work with the most rigorously trained, highest qualified prosthetists in the world. Look to ABC, the only U.S. group recognized worldwide for setting the gold standard for certification. ABC Certified Prosthetists know how to help you set and achieve your goals. Learn more about finding an ABC prosthetist in your area. Call 703-836-7114 or go to today.

Brilliant results start with better educated, qualified

practitioners. is a public service of the American Board for Certification in Orthotics, Prosthetics and Pedorthics more about ABC certified professionals

• Osseoperception – a more natural sensation of the prosthetic limb • Increase of bone and muscle mass

What are thedisadvantages?

• Long rehabilitation process: in total, it may take up to 18 months for the entire process to be complete • Risk of infection

• Risk of fractures and loosening of the implant

• Poor cosmesis due to permanent abutment

• No high-impact activities permitted, such as running or jumping

• Swimming in public facilities is not recommended

• Daily care of the abutment skin area is required

Who is it for?

Originally, this technology was recom-mended for transfemoral patients who experienced complications when using a conventional socket-type prosthesis. These

diffculties may have had varied causes such as allergies, obesity or skin problems. Medical conditions such as osteoporosis, diabetes, peripheral vascular disease, hip contractures or excess weight (more than 110 kilograms, or 242 pounds) are all contraindications for this approach. This technology can also be used for upper-limb amputees.

Further developments

In the United Kingdom, clinical testing is being performed for a one-step surgi-cal implant procedure called Intraosseous Transcutaneous Amputation Prosthesis (ITAP); this would shorten the rehabilitation process.

In Germany, from 1999 to 2009, about 37 people underwent the Endo-Exo Femur Prosthesis procedure. This intramedullary prosthesis (implant) has a unique spongiosa (porous) metal surface for osseointegration, which is implanted without cement, and therefore provides a different approach.

Is osseointegration a promising treatment for amputees?

In a study done in the 1990s and later in 2001, lower-limb amputees reported that the main reasons for not wearing their pros-thesis, aside from energy expenditure, were socket-related problems such as discomfort, perspiration and skin problems. Therefore, eliminating the need for a socket could virtually eliminate many of the reasons for not being able to use prosthesis. As one can conclude, there is still a lot of research and development to be done in this feld. The technique is still in evolution and there are many exciting possibilities for the future. This procedure has not yet been performed in the United States or Canada.

Editor’s Note: This article is intended for edu-cational purposes only. The views represented in this article are not necessarily those of the Amputee Coalition.

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