Transcutaneous osseointegration for amputees with burn trauma

Amanullah Haidary, Jason S. Hoellwarth*, Kevin Tetsworth, Atiya Oomatia, Munjed Al Muderis

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)
38 Downloads (Pure)

Abstract

Objective: Transcutaneous osseointegration for amputees (TOFA) surgically implants a prosthetic anchor into the residual limb's bone, enabling direct skeletal connection to a prosthetic limb and eliminating the socket. TOFA has demonstrated significant mobility and quality of life benefits for most amputees, but concerns regarding its safety for patients with burned skin have limited its use. This is the first report of the use of TOFA for burned amputees. Methods: Retrospective chart review was performed of five patients (eight limbs) with a history of burn trauma and subsequent osseointegration. The primary outcome was adverse events such as infection and additional surgery. Secondary outcomes included mobility and quality of life changes. Results: The five patients (eight limbs) had an average follow-up time of 3.8 ± 1.7 (range 2.1–6.6) years. We found no issues of skin compatibility or pain associated with the TOFA implant. Three patients underwent subsequent surgical debridement, one of whom had both implants removed and eventually reimplanted. K-level mobility improved (K2 +, 0/5 vs 4/5). Other mobility and quality of life outcomes comparisons are limited by available data. Conclusion: TOFA is safe and compatible for amputees with a history of burn trauma. Rehabilitation capacity is influenced more by the patient's overall medical and physical capacity than their specific burn injury. Judicious use of TOFA for appropriately selected burn amputees seems safe and merited.

Original languageEnglish
Pages (from-to)1052-1061
Number of pages10
JournalBurns
Volume49
Issue number5
DOIs
Publication statusPublished - Aug 2023

Bibliographical note

Copyright the Author(s) 2023. 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.

Keywords

  • Amputee
  • Burn
  • Burn amputation
  • Osseointegration
  • Transcutaneous osseointegration

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