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Review
. 2025 Mar 7;8(1 Suppl):e371.
doi: 10.1097/OI9.0000000000000371. eCollection 2025 Mar.

Consensus statement on prehabilitation and rehabilitation of osseointegration patients

Danielle Melton  1 , Lisa Prasso  2 , Angela Abernethy  3 , Jason S Hoellwarth  4 , Tarey Strickland  3
Affiliations
Review

Consensus statement on prehabilitation and rehabilitation of osseointegration patients

Danielle Melton et al. OTA Int. .

Abstract

Rehabilitation protocols vary according to the osseointegration (OI) implant system and the institutions implanting bone-anchored limbs (BALs). While there are limited peer-reviewed OI publications quantifying details for optimizing surgical candidacy and rehabilitation protocols to ensure support across the BAL spectrum, the authors recommend a multidisciplinary team approach over the user's lifetime. Breakout sessions at the Global Collaborative Congress on OI (GCCO) were convened around key topics, including rehabilitation. Current best practice, gaps in the literature, and needs for future research were captured. The authors used these findings along with the available peer-reviewed literature and expert opinion to frame the consensus statements presented in this article. The authors present 3 consensus statements describing each phase of care-preoperative, perioperative, and postoperative.

Keywords: bone-anchored limbs; perioperative; postoperative; preoperative; rehabilitation protocols; surgical candidacy.

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Conflict of interest statement

Disclosures of Conflicts of Interest: D.M. has DoD contract OP220013 and CDMRP Grant OR210169. She also has consulting fees for Paradigm Medical Director and has received payment for lectures at the State of the Science Conference on Osseointegration. D.M. has received payment for expert testimony while acting as a consultant and expert witness in multiple cases. She has received support from Amputee Coalition BOD to travel and attend meetings. She has participated in the Data Safety Monitoring Advisory Board for External Advisory Panel for Limb Loss Prevention Registry. D.M. has a leadership or fiduciary role in METRC Executive Council, Amputee Coalition Board of Directors, and in Catapult Board of Directors. Dr. Hsu reports consultancy for Globus Medical and personal fees from Smith & Nephew speakers' bureau. Benjamin K. Potter has a CDMRP PRORP grant/contract with DoD-USUHS Restoral. He also has consulting fees with Integrum and Signature. Leah Gitajn received consulting fees from Stryker and Paragon28. She also has a leadership or fiduciary role in the OTA program committee and AO research committee. Robert Rozbruch reports consulting fees from Nuvasive and J&J. He also reports having stock with Osteosys. Jason Souza reports he is a paid consultant for Balmoral Medical, LLC, Checkpoint, Inc, and Integrum, Inc. ason Stoneback reports royalties from AQ Solutions as well as consulting fees from AQ Solutions and Smith and Nephew. He reports payment for lectures from Smith and Nephew and AQ Solutions. Jason Stoneback states he has received payment for expert testimony in multiple cases. He notes he has received support to travel and attend meetings from Smith and Nephew and AQ Solutions. He reports planning a patent for a Rotational Intramedullary Nail. Jason Stoneback states he is the secretary for ISPO Special Interest Group for Bone-Anchored Limbs and is a board member for Justin Sports Medicine Team Annual Conference. He also reports stock with Validus Cellular Therapeutics. The remaining authors declare they have no conflicts of interest.

Figures

Figure 1.
Figure 1.
Qualifying impact activity.
Figure 2.
Figure 2.
OI criteria.
Figure 3.
Figure 3.
The significance of connecting all the pieces of preoperative therapy–related patient care to avoid contributing to vulnerabilities in outcome optimization.
Figure 4.
Figure 4.
Different time lines for each rehabilitation protocol that can affect when the physical therapist might begin in-clinic appointments with the patient.
See this image and copyright information in PMC

References

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