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Описание: OSSEOINTEGRATION FOR LOWER LIMB AMPUTEES: A REVOLUTIONARY APPROACH TO PROSTHETIC ATTACHMENT #shorts
For decades, lower limb amputees have struggled with traditional socket-based prosthetics, facing chronic pain, skin breakdown, and limited mobility. Osseointegration represents a paradigm shift in prosthetic technology, offering direct skeletal attachment that's transforming lives worldwide.
HOW OSSEOINTEGRATION WORKS
Osseointegration involves the direct structural integration of living bone with a titanium implant. At the cellular level, macrophages and osteoblasts coordinate the migration of inflammatory and progenitor cells, establishing a fibrin matrix at the bone-implant interface. Osteoprogenitor cells differentiate into osteoblasts, laying down calcified hydroxyapatite crystals that remodel into mature lamellar bone over approximately 12 weeks. This creates a permanent, stable connection between the residual limb bone and the external prosthetic device.
THE SURGICAL PROCEDURE
The procedure can be performed in one or two stages, depending on the implant system used. In two-stage procedures like OPRA, the first surgery involves implanting a threaded titanium fixture into the intramedullary canal after reaming and tapping. The bone canal is sealed with bone graft, and the wound is closed for 12 weeks of healing. The second stage creates the skin penetration site and attaches the transcutaneous abutment. Single-stage procedures achieve immediate press-fit stability through endocortical contact, with careful soft tissue management around the exit site.
TRANSFORMATIVE BENEFITS FOR LOWER LIMB AMPUTEES
Research demonstrates compelling advantages over traditional socket prosthetics. Osseointegrated patients show 20 percent faster completion of mobility tests and can walk approximately 25 percent further with reduced energy expenditure. The direct bone connection eliminates the hip range of motion restrictions caused by socket prosthetics, allowing patients to achieve gait patterns comparable to non-amputated individuals.
Most significantly, osseointegration eliminates the chronic skin problems affecting over 70 percent of socket users, including lesions, infections, ulcerations, and contact dermatitis. Patients report longer daily prosthetic wear, increased confidence, and dramatically improved quality of life scores across all measured domains.
CLINICAL OUTCOMES AND SUCCESS RATES
Long-term studies show impressive survivability rates, with the OPRA system demonstrating 92 percent implant survival at 11.2 years and 80 percent at 15.9 years. While complications like superficial infections occur in approximately one-third of patients, these are typically manageable with antibiotics. Serious complications requiring implant removal remain rare, occurring in fewer than 10 percent of cases.
The technology continues advancing with innovations in implant materials, surgical techniques, and infection prevention strategies. As experience grows and techniques refine, outcomes continue improving, making osseointegration an increasingly viable option for appropriately selected lower limb amputees seeking enhanced mobility and quality of life
Video: ‪@osseointegrationconnect‬ Jedimar de Oliveira, Osseointegration bilateral tibial, primeiro da América Latina

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Opinions expressed are solely my own and do not express the views or opinions of my employer. Information in this video is not intended or implied to be a substitute for professional medical advice, diagnosis and/or treatment. All content [images, digital graphics, text, and other information] contained in this video is for general information purposes only and does not replace or substitute for a consultation with a qualified physician or health professional.