FAQ

“Osseointegration provides amputees with greater mobility, comfort and quality of life.”

What is Osseointegration?

Osseointegration is a technique in which an implant is inserted in the patient’s bone, which after recovery gradually attaches to the bone and is actually considered as part of the body. The implant can be connected to a prosthesis through an opening in the stump (stoma). This eliminates the need of a socket around the stump. Read more about Osseointegration.

What does the treatment programme look like?

You start by submitting your application, which is followed by a screening comprising of a number of questionnaires, supplemented by medical information. If you are eligible. you be invited to attend the osseointegration outpatients’ clinic. During this consultation, the osseointegration process will be explained to you, and appointments with a psychologist and specialist will be scheduled for an initial assessment, followed by another extensive questionnaire. Once the entire screening is completed and 50% of the payment has been made, the surgery is scheduled and arrangements are made for your visit to the Netherlands (booking a flight & hotel and planning your rehabilitation).

How long does the treatment take?

You will be admitted to the hospital the day before the surgery. The procedure takes between 2 and 3 hours. After surgery, you will stay in hospital for an average of 3 days. You will then be transferred to the Laurens Avanze care hotel for approx. 4 more days. You will spend another month, on average, in our apartment hotel, to recover and make a start on rehabilitation.

How long does rehabilitation take?

The actual rehabilitation period differs per patient. On average, a patient will be able to walk unaided after 4 to 6 weeks. However, full rehabilitation can take up to 2 years.

When are you eligible for osseointegration?

Not everyone has the option to choose for osseointegration, so at this moment not (yet) everyone is eligible for this surgery. Osseointegration is for anyone who has physically matured with an amputation to one or two legs and who meets the selection criteria. This includes requirements such as good physical and mental health, no disease of the circulatory system or diabetes, and no smoking. Want to know if you are eligible for osseointegration? Please contact us.

What type of amputations is osseointegration suitable for?

At the moment, we treat people with an upper or lower leg amputation to one or two legs. At a later stage, arms, fingers and hands will follow.

I live in The Netherlands, can I be treated via ICON in Motion?

No, at the moment, it is not (yet) possible to treat Dutch patients. We are working hard on making osseointegration available for Dutch patients. Until that time, we would like to refer you to Erasmus MC.

I don’t live in The Netherlands, can I be treated via ICON in Motion?

Yes, osseointegration is available for anyone who is eligible for osseointegration treatment, who does not live in the Netherlands and who has the financial resources to pay for the treatment.

Can I also follow (part of) the treatment in my own country?

Yes you can, and we also recommend that you do. The surgery and rehabilitation take place in the Netherlands. Afterwards, you will be transferred to a specialist in your own country, and the further rehabilitation process will be supervised by a Dutch specialist by telephone and Internet.

What is the OGAP-OPL prostheses?

The OGAP-OPL is a type of prosthesis for amputees both above and below the knee, that makes a conventional suction prosthesis unnecessary. The OGAP-OPL is modelled on the anatomy of the human body and shift the load back to the femur and hip joint when walking.

What can I do with the implant?

With an implant, people can do (nearly) everything again. Having a shower or taking a bath, going for a swim (in the sea or swimming pool), going to the sauna, driving, cycling, mountain biking, sailing and diving.

Are there limitations to an implant?

Impact and contact sports, such as football, martial arts and skiing are discouraged because of an increased risk of bone fractures because the bone of the stump is weakened.

What are the benefits of an osseointegration implant?

Walking will cost less energy and you will be able to walk longer, have a better sitting posture and fewer back problems. Compared to a socket around the stump, people have fewer skin problems and fewer issues with perspiration. The prosthesis can easily be taken on and off.

Are there disadvantages to an implant?

An important and permanent disadvantage is that the opening of the skin (stoma) must be cleaned twice a day to prevent irritations and infections. The implant is often more visible through clothing. In the first year after the surgery, pain (muscle pain, adhesion pain) often occurs, which will disappear when the stump muscles become stronger and fitter again.

What are the costs of the surgery/treatment process?

You will be provided with a full cost specification after the intake.

Is the treatment (partly) reimbursed by my health insurer?

Unfortunately, ICON in Motion cannot stay up to date with local insurance regulations outside the Netherlands. The implant has a CE certificate (an off-the-shelf product) or is delivered custom-made. Every country may have its own rules and regulations. The patient will have to make inquiries about reimbursement himself.

How often has the treatment been carried out with the OPL implant?

Worldwide, almost 1,000 surgeries have been performed by various surgeons. In the Netherlands, at the Erasmus MC and Radboud UMC, more than 50 surgeries are performed every year. Our surgeons work together with dr. Munjed al Muderis, who has performed worldwide the most operations with the OPL implant.

Are you interested or have any questions?

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