Rehabilitation Loading Streams

Uses

How it works

Dosage & preparation

Comparisons

Highlighted claims

• Standard loading begins axial loading at 5 kg on day 1–2, increasing by 5 kg daily until 50% of body weight is reached. — Osseointegration Group of Australia Accelerated Protocol-3 (OGAAP-3): protocol for a stratified approach to surgical technique and rehabilitation in lower limb amputees
• Slow loading increases axial load only weekly by 5 kg, representing a substantially more gradual ramp than the standard protocol. — Osseointegration Group of Australia Accelerated Protocol-3 (OGAAP-3): protocol for a stratified approach to surgical technique and rehabilitation in lower limb amputees
• Delayed loading applies no axial load for the first 6 weeks postoperatively to allow biological integration at the bone–implant interface. — Osseointegration Group of Australia Accelerated Protocol-3 (OGAAP-3): protocol for a stratified approach to surgical technique and rehabilitation in lower limb amputees
• Delayed loading is reserved for patients with short residual femurs under 120 mm, limb lengthening history, advanced osteoporosis, or metaphyseal-only tibial contact. — Osseointegration Group of Australia Accelerated Protocol-3 (OGAAP-3): protocol for a stratified approach to surgical technique and rehabilitation in lower limb amputees
• OGAAP-3 formalises four stratified rehabilitation streams—immediate fitting, standard loading, slow loading, and delayed loading—replacing the previous two-category system from OGAAP-2. — Osseointegration Group of Australia Accelerated Protocol-3 (OGAAP-3): protocol for a stratified approach to surgical technique and rehabilitation in lower limb amputees
• Stream assignment is determined by intraoperative bone quality, residual limb characteristics, and patient physiological factors. — Osseointegration Group of Australia Accelerated Protocol-3 (OGAAP-3): protocol for a stratified approach to surgical technique and rehabilitation in lower limb amputees
• The immediate fitting stream is particularly advantageous for bilateral transfemoral amputees, for whom early mobilisation is critical. — Osseointegration Group of Australia Accelerated Protocol-3 (OGAAP-3): protocol for a stratified approach to surgical technique and rehabilitation in lower limb amputees