Osseointegration - Surgical part
Surgical implants we use are manufactured by ESKA Orthopaedics, Germany.
Surgical part is divided into two stages, when the third stage is led by an experienced prosthetist.
All surgical interventions are done under general or regional anaesthesia. Conditions for the implantation of a stem are the same as for any joint replacement. Laminar airflow theatre will be used and antibiotic prophylaxis given prior to the procedure. Should there be any signs of active infection anywhere in the body, the implantation will be postponed until symptoms resolved.
In the first stage titanium coated metal stem is inserted into the bone. The stump is fashioned to minimise the risk for any potential soft tissue problem. All the metal at this stage is buried underneath the skin allowing for the stump wound to heal and also allowing osseointegration to start by minimising the risk of infection.
The second stage usually follows 4-8 weeks post first stage depending on the tissue quality and healing. At this stage skin is re-opened and external part of the stem is attached - protruding through the skin (the site where the stem is coming through the skin is called "STOMA"). This part will allow for the future prosthesis to be attached to the stem which is buried and osseointegrated into the bone.
Where clinically and technically possible both stages can be done in one sitting providing the the procedure is safe and there is no risk of soft tissue compromise.
Surgical and rehabilitation protocol can be found on ESKA Orthopaedics website.
Every patient will be closely monitored (audit) throughout the recovery period and beyond to provide accurate data and long term results of the procedures.