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Review
. 2025 Nov:56 Suppl 1:112534.
doi: 10.1016/j.injury.2025.112534.

Past, present, and future of bone-anchored prosthesis for individuals with lower limb amputation in The Netherlands

David Reetz  1 , Ruud Leijendekkers  2 , Michael Jr Edwards  3 , Jan Paul Frölke  4
Affiliations
Free article
Review

Past, present, and future of bone-anchored prosthesis for individuals with lower limb amputation in The Netherlands

David Reetz et al. Injury. 2025 Nov.
Free article

Abstract

After years of preparatory work, the implementation of bone-anchored prosthesis (BAP) for individuals with lower limb amputation started in 2009 in The Netherlands. Since then, several developments took place in indications, surgical techniques, implants, rehabilitation programs, and aftercare. In this article, we describe our journey and the lessons learned with BAP in the last 16 years. Although numerous positive developments have taken place, there remains both room and necessity for further improvement.

Keywords: Amputation; Bone-anchored prosthesis; Osseointegration.

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Conflict of interest statement

Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. This paper is part of a Supplement supported by The Osteosynthesis and Trauma Care Foundation (OTCF), which receives funding from the Stryker Corporation.

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