Cementing osseointegration implants results in loosening: case report and review of literature

Jason S. Hoellwarth*, Munjed Al Muderis, S. Robert Rozbruch

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

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Skeletal transcutaneous osseointegration was performed on a 54-year-old female transfemoral amputee. None of the available osseointegration implants achieved press-fit stability, so an implant was cemented in position. Although initially stable, by six months the patient reported painful loading and radiographs revealed cement mantle lucency. The osseointegration implant was removed, antibiotics were delivered via implanted spacer and intravenously, and revision osseointegration three months later achieved appropriate immediate press-fit stability. Cemented transcutaneous osseointegration implants loosen within one year. Osseointegration is only successful when bone grows directly onto the implant.

Original languageEnglish
Article number7066
Pages (from-to)1-8
Number of pages8
Issue number2
Publication statusPublished - 21 Feb 2020

Bibliographical note

Copyright the Author(s) 2020. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.


  • osseointegration
  • amputation
  • prosthetics
  • cement
  • complication


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