Osseointegration at a Military Medical Center
Section: Federal PT Section
Session Code: FD-1C-1257
Date: Thursday, January 24, 2019
Time: 3:00 PM - 5:00 PM
Location: Marriott Marquis
Room: Marquis Salon 12, 13
Session Type: Educational Sessions
Session Level: Intermediate
This multidisciplinary session will include presentations from an Orthopaedics Sectionpedic surgeon conducting transfemoral and transhumeral osseointegration procedures at Walter Reed National Military Medical Center (WRNMMC); physical and occupational therapists leading the rehabilitation efforts; and a panel of osseointegration patients who will discuss their experiences, outcomes, and lessons learned.Patients with transfemoral amputation often experience problems related to the use of socket-suspended prostheses. Additionally, nearly a third of servicemembers and veterans with unilateral upper limb amputations abandon their prosthetic devices for a variety of reasons, including pain, weight, skin breakdown, and lack of consistent function. Osseointegration aims to mitigate these issues for amputees via direct skeletal attachment of the prosthetic device to improve functional outcomes and quality of life. In 2015 the Department of Defense Osseointegration Program was established to coalesce all aspects of osseointegration technology and deliver state-of-the-art care to the wounded warfighter. Enrollment, surgery, and rehabilitation were centralized at WRNMMC with patients being enrolled into 1 of 3 mechanisms: an FDA early feasibility study investigating outcomes in transhumeral amputations (OPRA implant system), an FDA Humanitarian Device Exception in transhumeral amputations (OPRA implant system) and a custom device (compress transdermal implant system) with an FDA trial of the latter opening in 2018.
Learning Objectives: Upon completion of this course, you will be able to:
1. Describe the current osseointegration procedures conducted at a large Department of Defense medical facility.
2. Outline the clinical rehabilitation protocols used for lower and upper limb osseointegration at this site.
3. Analyze the results based on standardized outcome measures and feedback from recipients.
4. Identify lessons learned during the rehabilitation process of lower and upper extremity osseointegration.
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