Surgical Techniques

Uses

Dosage & preparation

Risks & contraindications

Comparisons

Highlighted claims

• Five operative approaches are defined according to amputation level, timing, and soft-tissue availability. — Osseointegration Group of Australia Accelerated Protocol-3 (OGAAP-3): protocol for a stratified approach to surgical technique and rehabilitation in lower limb amputees
• Single-stage osseointegration is the default surgical method; two-stage surgery is reserved for rare circumstances such as concurrent joint replacement. — Osseointegration Group of Australia Accelerated Protocol-3 (OGAAP-3): protocol for a stratified approach to surgical technique and rehabilitation in lower limb amputees
• In simultaneous transfemoral amputation and osseointegration, bone resection must occur at least 150 mm proximal to the knee joint line. — Osseointegration Group of Australia Accelerated Protocol-3 (OGAAP-3): protocol for a stratified approach to surgical technique and rehabilitation in lower limb amputees
• Metaphyseal fixation is explicitly avoided in simultaneous transfemoral cases due to the risk of compromised bone–implant contact and mechanical complications. — Osseointegration Group of Australia Accelerated Protocol-3 (OGAAP-3): protocol for a stratified approach to surgical technique and rehabilitation in lower limb amputees
• Peripheral nerves in simultaneous transtibial cases are managed using TMR or RPNI to reduce postoperative neuroma, neuropathic pain, and phantom limb pain. — Osseointegration Group of Australia Accelerated Protocol-3 (OGAAP-3): protocol for a stratified approach to surgical technique and rehabilitation in lower limb amputees
• The minimum tibial resection level for simultaneous transtibial osseointegration is approximately 25 cm from the ground. — Osseointegration Group of Australia Accelerated Protocol-3 (OGAAP-3): protocol for a stratified approach to surgical technique and rehabilitation in lower limb amputees