Dr Tom Suvvilides (Orthopaedic Surgeon). The OGAAP team. Stephan Laux and ... Belinda Bosley (The OGAAP coordinator). Sarah Benson (Physiotherapist).
Implant Design And Surgical Technique Changes
ASAMI 2016
Brisbane Munjed Al Muderis MB ChB, FRACS, FAOrthA
Chairman of the Osseointegration Group of Australia
Adjunct Clinical Associate Professor, School of Medicine, Sydney
University of Notre Dame Australia,
Macquarie University
Early Pioneers
Per-Ingvar Brånemark 1965 Newman, Michael; Takei, Henry; Klokkevold, Perry, eds. (2012). Carranza's Clinical Periodontology (in English). St. Louis, Missouri: Elsevier Saunders.
Dr Rickard Branemark (1995-present)
Nebergall, A., C. Bragdon, A. Antonellis, J. Kärrholm, R. Brånemark, and H. Malchau, Stable fixation of an osseointegated implant system for above-the-knee amputees. Acta Orthopaedica, 2012. 83(2): p. 121-128
Early Pioneers
Dr. Ing. Hans Grundei 1999-2010 Für die Verfasser: Dr. Horst Aschoff, Klinik f. Plastische und Handchirurgie, Sana Kliniken Lübeck, Kronsforder Allee 71-73, 23560 Lübeck
Dr. Horst Aschoff 1999-Present
I Studied Others Strengths
Excellent Press-fit implant surface very low loosening rate
I Studied Others Weakness
Screw fixation slow integration and long term loosening
I Studied Others Weakness
Cannulated implant risks ascending infection to the bone
I Studied Others Weakness
Limited implant options
I Studied Others Weakness
Weak Abutment easily bent and need surgery to change
Activity of daily living
I Studied Others Weakness
Screw fixation slow integration and long term loosening Cannulated implant risks ascending infection to the bone Limited implant options Weak Abutment easily bent and need surgery to change
Chrome-cobolt material less biocompatable
I Studied Others Weakness
Screw fixation slow integration and long term loosening Cannulated implant risks ascending infection to the bone Limited implant options Weak Abutment easily bent and need surgery to change
Skin-metal interface irritation does not allow proper soft tissue management
Initial Description OPRA (Osseointegrated Prosthesis for rehabilitation of Amputees) Screw fixation Two stage surgery (6-9 months apart) Over all 18-Month protocol
Hagberg K, Brånemark R. One hundred patients treated with osseointegrated transfemoral amputation prostheses - the rehabilitation perspective. Journal of Rehabilitation Research & Development. 2009;43: 331-44.
Initial Description
German Horst Aschoff Excellent press-fit implant surface, very low loosening rate 2-stage surgery (6-8 weeks apart) Skin-metal interface did not allow soft tissue management Patient driven rehabilitation protocol
Für die Verfasser: Dr. Horst Aschoff, Klinik f. Plastische und Handchirurgie, Sana Kliniken Lübeck, Kronsforder Allee 71-73, 23560 Lübeck
Initial Description
German Horst Aschoff Excellent press-fit implant surface, very low loosening rate 2-stage surgery (6-8 weeks apart) Skin-metal interface did not allow soft tissue management Patient driven rehabilitation protocol
Für die Verfasser: Dr. Horst Aschoff, Klinik f. Plastische und Handchirurgie, Sana Kliniken Lübeck, Kronsforder Allee 71-73, 23560 Lübeck
iTap - United Kingdom
iTap - United Kingdom
iTap - United Kingdom
iTap - United Kingdom
iTap - United Kingdom
Change The Implant Design
Uncemented Press Fit Fixation
Based on Proven
Hip Replacement Technology
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Thank You Acknowledgement The OGAAP team Stephan Laux and APC Prosthetics Dr Chris Basten ( Amputee Psychologest) Dr Kevin Tetsworth (Orthopaedic Surgeon) Dr Ajay Kumar (Anaesthetist) Dr Andrew Paterson (Pain Specielist) Dr Geoff Booth (Rehabilitation Phycisian) Belinda Bosley (The OGAAP coordinator) Sarah Benson (Physiotherapist) Robert Lye (Bio-mechanical engineer) Shona Wilmot (Nurse) Dr Orville Samuel (Orthopaedic Fellow) Dr William Lu (Research Fellow) Dr Vaida Glatt (Research Fellow) Shamus Thomson (Phd Student) Anne Livingston (Assistent Coordinator) The UK team Dr Rhodri Phillip (Rehabilitation Physician) Mr Jon Kendrew (Orthopaedic Surgeon) Mark Thoburn (Prosthetist) Kate Sherman (Physiotherapist) The New Zealand Dr John Mackey (Orthopaedic Surgeon) Graham Flanagan (Prosthetist)
The Dutch team Dr Jan Paul Frolke (Trauma Surgeon) Dr Henk Van De Meent (Rehabilitation Phycisian) Prof J.A Jansen ( Research) M. Papenburg (Prosthetist) The Perth team A/Prof Richard Carey Smith (Orthopaedic Surgeon) Andrew Vering (Prosthetist) The Melbourne team Dr Selva Mudailer (Rehabilitation Phycisian) Dr Andrew Bucknell (Orthopaedic Surgeon) Mark Graff (Prosthetist) The German team A/Prof Ludger Gerdesmyer (Orthopaedic Surgeon) The Adelaide team Dr Tom Suvvilides (Orthopaedic Surgeon)
