Osseointegration/Bone Anchored Prosthesis

For a patient with lower limb amputation pursuing a bone-anchored prosthesis (BAP), the very first steps often involve discovering this new treatment option, obtaining a consultation from a team offering the surgery, and a decision about whether they are a good candidate. Due to the novel nature of BAP, accessible information about the procedure and clinical outcomes can be limited and may vary based on the source. As relatively fewer BAP programs exist at present, patients often travel to obtain a consultation from these experienced and interdisciplinary teams. Ultimately, a decision is made as to whether the patient is a suitable candidate for the procedure and rehabilitation. The patient needs to decide whether to move on with the surgery knowing the risks and benefits, as well as a lifelong commitment to BAP related self-care and activity restrictions. What follows is a collection of resources and clinical experience pertaining to these very important first steps in a patient’s BAP journey. Clinical Relevance By providing a general overview of the available information and a description of the consultation process, we aimed to provide a resource for those curious about BAPs from experienced professionals. Knowing who, what and where to go for a comprehensive consultation by an experienced team that can identify the right patient for the BAP process will help ensure a successful and safe result.