Description
In this presentation delivered by Dr. Paul Hindle, the focus is on the osseointegration program aimed at assisting amputees with severe limb loss who can no longer use traditional prosthetic sockets. Dr. Hindle highlights the plight of these patients who often present with difficult wounds that render them wheelchair-bound due to their conditions. He acknowledges the contributions of colleagues, notably surgeons John Kendrew and Demetrius Evriviades, who have been pivotal in advancing the surgical techniques utilized within this interdisciplinary treatment framework.
The discussion delves into the concept of osseointegration—the direct structural and functional connection between living bone and the surface of a load-bearing implant—which, while not a new medical technology, has been adopted more slowly in the UK compared to other countries. Dr. Hindle explains the historical context of osseointegration, referencing its roots in dental implantology and tracing it to the Branemark system, which has been effectively employed by the US Armed Forces.
Dr. Hindle elaborates on the different types of implants used and the specific OPL system developed by Professor Munjed Al Muderis. He emphasizes the importance of a skilled multidisciplinary team, including physiotherapists and prosthetists, in the rehabilitation process of these patients. The presentation covers various technical aspects regarding the surgical implantation of osseointegration systems, rehabilitation protocols, and anticipated patient outcomes.
Throughout the talk, Dr. Hindle stresses the ongoing challenges, including concerns about infection rates in this population known for having complex wounds due to previous traumatic injuries. He addresses typical complications, outlining strategies for managing fractures and the subsequent rehabilitation phases. The session culminates in an evaluation of patient experiences, showcasing their ability to regain mobility and lead active lives, thus highlighting the transformative impact of osseointegration on limb loss recovery.