Get operated at Prof. Munjed Al Muderis’ Osseointegration Centre of Excellence in Australia.
Established in 2010 by Professor Munjed Al Muderis, the Osseointegration Group of Australia (OGA) clinics at Macquarie University Hospital Limb Reconstruction Centre is the largest Osseointegration centre worldwide. Renowned as a center of excellence in Osseointegration, the OGA has provided care to hundreds of patients, including paralympians, cancer patients, and those who have experienced amputations due to complications of other medical conditions or due to injury.
As the largest Osseointegration centre globally, the OGA is a hub for knowledge and professional development within the fields of Osseointegration and Limb Reconstruction.
The OGA access to top private surgical sites, bioengineering departments and medical research facilities at several partner universities allows for integrated work between clinical specialists, scientists, and engineers. This cooperation constantly contributes to the advancements in the Osseointegration field.
In addition, the OGA Team has conducted extensive research on the various aspects of Osseointegration, and has published over 30 articles in scientific journals, contributing to expanding knowledge and clinical evidence about the procedure.
The OGA multidisciplinary team is composed of clinicians and clinical associates who work together to ensure a successful Osseointegration journey for all patients.
Each professional play an equal and important role in various aspects of the procedure, from preparing patients for surgery to providing postoperative care, focusing on achieving positive outcomes and promptly addressing any issues that may arise.
All rehabilitation protocols are carefully crafted to cater to the unique needs and preferences of each patient. Through thorough research and collaboration, the OGA team has successfully developed approaches that prioritise wellbeing and comfort, while optimising each step of the Osseointegration procedure.
A comprehensive screening procedure, rehabilitation protocols, and patient care guidelines have been established to ensure that patients receive the necessary clinical support and long-term follow-up.
A pre-surgical assessment is critical to ensure the patient’s safety, satisfaction and the procedure’s success. Years of experience in looking after patients with amputations and their specific needs have let us develop algorithms enabling us to verify whether the osseointegration procedure is a suitable solution for each patient. This assessment also helps us decide about other medical procedures necessary to optimize your general condition before the osseointegration surgery.
At the Osseointegration Pre-surgical Clinic you will be assessed primarily by a team of orthopaedic surgeons and, depending on your needs, you may be consulted by a physiotherapist, a prosthetist, a clinical psychologist or our pain management team and an anaesthetist. You may also be referred to an internal medicine specialist or surgeon (a vascular surgeon, for example) if needed
We will answer all your questions and connect you with other osseointegration patients for experience exchange and peer support. For some patients, it is important that during the first visits, they are accompanied by a family member or friend, who will support them through the assessment and decision-making process.
After the orthopaedic clinical examination, the OGA Team will assess your X-rays, CT scans and any other relevant imaging. We will be able to thoroughly plan for your surgery, including the plan for your soft tissues (scars, ulcerations, abundant skin etc), bone length and implant size, to maximize the prosthetic stability and allow for early rehabilitation.
Thanks to the meticulous pre-surgical assessment and planning, the surgery does not take longer than necessary and there is a very low risk of unplanned intraoperative events. Our team will meet you before the operation to go through the surgical plan again and to answer your questions.
The surgery is usually performed under general anaesthesia, and additional regional blocks may be used for better pain control after the operation.
You will remain an inpatient at the hospital for several days to make sure you are comfortable, your pain is well controlled, and you begin to mobilize. You will start rehabilitation and the protocol will be adjusted to your abilities and intraoperative findings.
You will be discharged from the hospital only after gaining sufficient independence.
Finally, you will start a fully personalised outpatient physiotherapy and follow-up visits, to check the healing of your soft tissues and bone, and to assess the progress
The rehabilitation protocol is performed in 3 stages. In the most common situation, you will undergo:
Weeks 1-2: Initial loading – you can start loading the implant on the first day after surgery, with maximum of 5kg. Every day you can increase the loading by 5kg. Initial loading is completed when the target of is 50kg or half the patient’s body weight is achieved.
Weeks 3-6: Fitting of a light training prosthesis and the start of gait training exercises.
Weeks 7-14: Fitting of the definitive prosthesis, continuation of gait training exercises and mobilisation with crutches.
Most of the patients who opt for osseointegration have had the socket prosthesis fitted previously. We will provide you with connectors and adjust the components of your socket prosthesis (knee, foot etc) to fit the new implant. You will need regular check and alignment adjustments as you are re-learning to walk after Osseointegration.
You can also discuss with our prosthetic team if you need to exchange some of your prosthetic components or get a new component for use in special conditions (sports, water, etc.).
If you return to your home country prior to completing the 3 months of prescribed rehabilitation, we will provide your physio team and your surgeon in your home country with all instructions. You will be expected to attend periodic follow-up visits either in person or via Telehealth. Also, the prosthetic components will need to be checked by your local prosthetist twice a year. Some of the external components of the Osseointegration implant will need replacing due to regular use and material wearing out.
Osseointegration is major surgery and, by extension, the costs surrounding pre-surgery, surgery, and rehabilitation reflect that. Costs vary greatly based on the particular situation and needs of each patient. Every amputation is unique in:
As a result, these factors are all taken into consideration when planning what options are available and therefore each surgery plan and cost is prescribed individually to each patient. For more information, please enquire.
Macquarie University Clinic, Suite 303, Level 3/2 • NSW 2109, Australia.