| Osseointegrated Lower Limb Prostheses: A Review of Complications, Clinical Outcomes, and the Role of Rehabilitation |
| Paper ID : 1097-ISCSR3 (R3) |
| Authors |
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Aalaa Abdelnasser Ali Mahran * Orthotics prosthetics and rehabilitation specialist |
| Abstract |
| This review paper examines the increasing use of osseointegration in people with lower extremity amputations. It considers the range of problems, patient results, and the vital function of rehabilitation. Background: Osseointegration presents some benefits compared to conventional socket prostheses However, a complete grasp of its difficulties and how rehabilitation affects long-term success is essential for good clinical work. This review combines existing research to give a broad understanding of these important areas. Goals:The goal is to assess existing research on issues like problems, patient results ( covering movement, discomfort, and overall well-being), alongside the rehabilitation methods used for people with osseointegrated lower extremity prostheses. Structure: This is a narrative review of pertinent studies. How: We searched electronic databases (such as PubMed, Scopus, and Web of Science) for papers published from January 2000 to December 2024, specifically on osseointegration in adult amputees with lower extremity loss. We considered studies reporting complications, functional achievements and rehabilitation programs. Results: The narrative review included a total of [20] studies that met our eligibility criteria. osseointegration usually brings better mobility, less pain, and increased patient satisfaction compared to socket prostheses, complications like infections (mostly on the surface ) and problems with the implant itself can arise. Well-planned rehabilitation programs, involving early weight-bearing, gait training, and specific exercises, are consistently linked to better function and potentially fewer complications. Successful osseointegration greatly depends on following precise surgical methods and complete rehabilitation plans. Conclusion: Osseointegration is a hopeful option for people with lower extremity amputations, providing important clinical advantages.A strong grasp of possible complications and the crucial role of customized rehabilitation programs vital to getting the best patient results and guaranteeing the implant works well long-term. Future research should concentrate on creating standard rehabilitation protocols and reducing complication risks to further improve the clinical use of osseointegrated prostheses. |
| Keywords |
| Keywords: Osseointegration, Lower limb, Rehabilitation, Prosthesis, Amputation. |
| Status: Abstract Accepted |