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...

Full description

Bibliographic Details
Main Authors: Andrew R. Evans, MD, Kevin Tetsworth, MD, Stephen Quinnan, MD, John J. Wixted, MD
Format: Article
Language:English
Published: Wolters Kluwer 2024-03-01
Series:OTA International
Online Access:http://journals.lww.com/10.1097/OI9.0000000000000326
_version_ 1797243074162720768
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