Rehabilitation after leg amputation with transcutaneous osseointegrated prostheses

After initially proceeding in two stages and applying the stoma 4-6 weeks after insertion of the force carrier, the one-stage procedure has now proven successful.
Depending on the bone quality of the soft tissue situation and the patient’s sensation, docking of the exoprosthesis by the orthopedic technician and subsequent mobilization can begin 3-6 weeks later.
The interface between the endomodule and the exomodule is located between the conical sleeve and the knee connection adapter, which is firmly attached to the exoprosthesis and can be fixed or loosened by the patient with one hand. The knee joints are regularly equipped with microprocessors for control, as this minimizes the risk of falls.

Between January 2003 and December 2021, the authors treated 244 patients (151 m/71 w) with a median age of 47.6 years (17-95 years), some bilaterally; long-term outcome data are available from 232 patients.
To date, 13 femoral implants have been removed due to intramedullary infection, implant fatigue failure (after 7-14 years), chronic soft tissue problems, and patient request. TOPS reimplantation was successful in 4 of these patients.