Transcutaneous osseointegration for amputees
Abstract. Transcutaneous osseointegration for amputees (TOFA) is an evolving technology that has the potential to revolutionize the interface between the amputee and their prosthesis, showing potential at many levels of amputation. While no amputation is without its challenges, TOFA requires a highl...
Main Authors: | , , , |
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Format: | Article |
Language: | English |
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Wolters Kluwer
2024-03-01
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Series: | OTA International |
Online Access: | http://journals.lww.com/10.1097/OI9.0000000000000326 |
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author | Andrew R. Evans, MD Kevin Tetsworth, MD Stephen Quinnan, MD John J. Wixted, MD |
author_facet | Andrew R. Evans, MD Kevin Tetsworth, MD Stephen Quinnan, MD John J. Wixted, MD |
author_sort | Andrew R. Evans, MD |
collection | DOAJ |
description | Abstract. Transcutaneous osseointegration for amputees (TOFA) is an evolving technology that has the potential to revolutionize the interface between the amputee and their prosthesis, showing potential at many levels of amputation. While no amputation is without its challenges, TOFA requires a highly specialized prosthesis and a multidisciplinary team that includes specialized surgeons, physical therapists, wound care teams, and social workers who guide the amputee through surgery, postoperative rehabilitation, and the chronic wound care that goes into maintaining the prosthesis. The infrastructure required to facilitate care pathways that lead to reliable, successful outcomes are unique in each health care setting, including those in advanced health care systems such as the United States and Australia. This article details the emerging evidence supporting the use of this prosthetic interface design and many of the challenges that providers face when establishing programs to offer this type of care in the United States. |
first_indexed | 2024-04-24T18:49:20Z |
format | Article |
id | doaj.art-2d97b4cc21074065ad3baa22cede814e |
institution | Directory Open Access Journal |
issn | 2574-2167 |
language | English |
last_indexed | 2024-04-24T18:49:20Z |
publishDate | 2024-03-01 |
publisher | Wolters Kluwer |
record_format | Article |
series | OTA International |
spelling | doaj.art-2d97b4cc21074065ad3baa22cede814e2024-03-27T03:43:05ZengWolters KluwerOTA International2574-21672024-03-0172S10.1097/OI9.0000000000000326OI90000000000000326Transcutaneous osseointegration for amputeesAndrew R. Evans, MD0Kevin Tetsworth, MD1Stephen Quinnan, MD2John J. Wixted, MD3a Orthopedic Trauma Service, Department of Orthopedics, The Warren Alpert School of Medicine, Brown University/Rhode Island Hospital, Providence, RIb Trauma & Limb Reconstruction Unit, Department of Orthopaedics, Royal Brisbane Hospital, Herston, Australiac Paley Orthopaedic & Spine Institute, West Palm Beach, FLd Beth Israel Deaconess Medical Center, Boston, MAAbstract. Transcutaneous osseointegration for amputees (TOFA) is an evolving technology that has the potential to revolutionize the interface between the amputee and their prosthesis, showing potential at many levels of amputation. While no amputation is without its challenges, TOFA requires a highly specialized prosthesis and a multidisciplinary team that includes specialized surgeons, physical therapists, wound care teams, and social workers who guide the amputee through surgery, postoperative rehabilitation, and the chronic wound care that goes into maintaining the prosthesis. The infrastructure required to facilitate care pathways that lead to reliable, successful outcomes are unique in each health care setting, including those in advanced health care systems such as the United States and Australia. This article details the emerging evidence supporting the use of this prosthetic interface design and many of the challenges that providers face when establishing programs to offer this type of care in the United States.http://journals.lww.com/10.1097/OI9.0000000000000326 |
spellingShingle | Andrew R. Evans, MD Kevin Tetsworth, MD Stephen Quinnan, MD John J. Wixted, MD Transcutaneous osseointegration for amputees OTA International |
title | Transcutaneous osseointegration for amputees |
title_full | Transcutaneous osseointegration for amputees |
title_fullStr | Transcutaneous osseointegration for amputees |
title_full_unstemmed | Transcutaneous osseointegration for amputees |
title_short | Transcutaneous osseointegration for amputees |
title_sort | transcutaneous osseointegration for amputees |
url | http://journals.lww.com/10.1097/OI9.0000000000000326 |
work_keys_str_mv | AT andrewrevansmd transcutaneousosseointegrationforamputees AT kevintetsworthmd transcutaneousosseointegrationforamputees AT stephenquinnanmd transcutaneousosseointegrationforamputees AT johnjwixtedmd transcutaneousosseointegrationforamputees |