Osseointegration is a surgical procedure that aims to offer better quality of life and improved function and mobility to people who have had an amputation. Surgery involves inserting a metal implant into the bone of a residual limb, which then attaches directly to a prosthesis, eliminating socket-related issues. Surgery can be performed in one or two stages, depending on the implant system.
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Osseointegration: Why Choose Johns Hopkins?
- The Johns Hopkins Hospital, one of the few locations in the country that offers this innovative procedure, provides a full spectrum of care from evaluation to post-surgical rehabilitation.
- Our multidisciplinary team includes experts in orthopaedics, plastic surgery, prosthetics, rehabilitation and other fields who work together to guide you through each step of the process.
- We offer osseointegration to a wide range of thigh, leg and arm amputee patients. Our clinic even offers this procedure to patients with bilateral (both limbs) amputations.
- Three types of osseointegration implant systems are currently available in the U.S.: Swedish, Australian and U.S. implants. Our expert team has training in all three and can help you determine which option is right for you.
Benefits of Osseointegration
- Osseointegration eliminates the need for a socket, solving common prosthetic issues such as excessive sweating, pain, pressure, chafing and skin sores.
- Because the implant attaches directly to the bone, it provides improved osseoperception — the ability to sense the world through the limb, and osseoproprioception — the ability to sense where the prosthesis is without looking at it. Patients report being able to distinguish between different types of terrain with their prosthesis.
- Osseointegration allows for bone and muscle mass in the residual limbs to slowly increase, as the bone and muscles are being actively used. As you get stronger, mobility increases as well.
- The nature of the implant allows for improved range of motion when compared with traditional prostheses. As a result, the gait becomes more natural and you can sit more comfortably.
Cutting-Edge Osseointegration Techniques for People With Arm Amputations and Those With Short Residual Bones
Osseointegration can offer better function and quality of life for people with arm amputations and those who are left with a short bone after an amputation, which makes it difficult to wear a regular prosthesis. Our team of specialists have years of experience using osseointegration successfully for patients with amputations through the upper arm (transhumeral amputations) and those who lost the arm at the shoulder (shoulder disarticulations). By using implanted electrodes, we aim to offer patients better, more intuitive control of their new prosthetic arms.
Our experts also treat patients experiencing difficulties after osseointegration performed elsewhere.
Our Osseointegration Team
Extended Care Team
Francis Hwang, DNP, ANP-BC
Sr. Nurse Practitioner and Osseointegration Program Coordinator
Expertise: Orthopedic surgery in sports medicine, orthopedic oncology and musculoskeletal and general surgery; Care coordination of OI patients with pre- and post-surgical management; Consultations with prosthetists and OI candidates.
Research Interests: perioperative education in osseointegration, quality of life after osseointegration surgery
Contact: [email protected]
Mark Hopkins, PT, CPO, MBA
Physical Therapist and Prosthetist/Orthotist
Expertise: amputee rehabilitation, prosthetic and orthotic fabrication
Patient StoryOsseointegration | Kleyton’s Story
Pastor Kleyton Feitosa learned he would lose his leg to recurring cancer. An osseointegration procedure, his own determination and a dedicated team of experts across several specialties supported Kleyton so he could stand tall.
Featured ArticleWill Osseointegration Change the Future of Prosthetics?
With only one implant producer with data beyond 10 years, osseointegration as an orthopaedic field has many areas to be researched and Johns Hopkins is at the forefront. Participating in an international registry to collect data including criteria, surgical information, and outcomes, Johns Hopkins aims to better serve the community through emerging medical techniques.
Osseointegration | Gwenna's Story
Gwenna was diagnosed with sarcoma in her left leg at the age of 27. To improve mobility and her quality of life, she underwent amputation and chose osseointegration surgery as the best option.