Knee-disarticulation.

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Abstract

[Indexed for MEDLINE] 9. OTA Int. 2024 Mar 11;7(2 Suppl):e326. doi: 10.1097/OI9.0000000000000326. eCollection 2024 Mar. Transcutaneous osseointegration for amputees. Evans AR(1), Tetsworth K(2), Quinnan S(3), Wixted JJ(4). Author information: (1)Orthopedic Trauma Service, Department of Orthopedics, The Warren Alpert School of Medicine, Brown University/Rhode Island Hospital, Providence, RI. (2)Trauma & Limb Reconstruction Unit, Department of Orthopaedics, Royal Brisbane Hospital, Herston, Australia. (3)Paley Orthopaedic & Spine Institute, West Palm Beach, FL. (4)Beth Israel Deaconess Medical Center, Boston, MA. Transcutaneous osseointegration for amputees (TOFA) is an evolving technology that has the potential to revolutionize the interface between the amputee and their prosthesis, showing potential at many levels of amputation. While no amputation is without its challenges, TOFA requires a highly specialized prosthesis and a multidisciplinary team that includes specialized surgeons, physical therapists, wound care teams, and social workers who guide the amputee through surgery, postoperative rehabilitation, and the chronic wound care that goes into maintaining the prosthesis. The infrastructure required to facilitate care pathways that lead to reliable, successful outcomes are unique in each health care setting, including those in advanced health care systems such as the United States and Australia. This article details the emerging evidence supporting the use of this prosthetic interface design and many of the challenges that providers face when establishing programs to offer this type of care in the United States. Copyright © 2024 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the Orthopaedic Trauma Association. DOI: 10.1097/OI9.0000000000000326 PMCID: PMC10936159