A world-class osseointegration partner, a little closer to home.
The Paley European Institute (PEI), our partner institution for osseointegration in Europe, allows us to deliver world-leading osseointegration and limb reconstruction care to those patients who may struggle to reach us in Sydney.
We want to ensure that every patient has access to the very highest level of orthopaedic care. The fact that not all are able to travel to us in Sydney, doesn’t change that goal.
As such, we’ve partnered with the Paley European Institute to grow a European hub for osseointegration and limb reconstruction which makes it possible for patients to access our expertise much closer to home.
The team at PEI are all highly-experienced, and have received their osseointegration training directly from Prof. Dr Munjed Al Muderis.
Boasting world-class surgical and rehabilitation facilities, the PEI regularly hosts clinics for people living with amputation, limb difference or limb deformity at which Prof Dr Al Muderis and his team offer consultations, support and surgery.
Your care at PEI will follow the same trusted and time-served surgical and care protocols that we utilise in Australia, meaning that your decision to undertake your care with our team at PEI won’t mean compromising your standard of care.
Pre-surgical assessments help us to identify your specific needs and tailor our care to meet them. It gives you the opportunity to meet with our physiotherapy, psychology, surgical and pain management specialists, and allows them the opportunity to fully assess your current health status, recognise any additional actions that may be necessary before or during your care and identify and mitigate risks any risks that might be associated with your treatment plan
Alongside your pre-surgical assessment, the OG team will examine your historical and current imaging, size and build your implant, optimise your soft tissue management plan (including any nerve work or neuroma removal), and plan your surgery using specialist surgical software.
Notwithstanding complex cases, which can require multiple additional surgical steps, the osseointegration procedure can normally be completed in around 2-4 hours. The procedure itself can be performed using an epidural and/or other nerve blocks where required, although it is typically carried out under general anaesthetic.
It involves the preparation of your bone and the insertion of your intramedullary implant. The surgical team will modify your soft tissue to give you the best functional and cosmetic outcome, as well as preparing a hole through which the end of the implant can connect to your prosthesis, known as a stoma.
You will stay at the hospital as an in-patient for several days so that staff can closely monitor your immediate post-operative recovery.
Once you are able to mobilise, and any pain is well controlled, you will be discharged and begin your rehabilitation as an outpatient
Your osseointegration rehabilitation is a three-step process which may be completed according to a ‘fast-loading’ or ‘slow-loading’ protocol depending on your individual health factors.
Rehabilitation will involve learning how to complete basic moves, including standing, as well as gait training and exercise. You’ll also start to load your implant with weight, aiming eventually for a force equivalent to 50kg or 50% of your bodyweight.
Each subsequent stage of rehabilitation aims to increase your walking proficiency (including using stairs or moving across uneven ground), strengthen your muscles and secure your body’s connection to the implant.
Most osseointegration patients will be able to walk unaided around 4 months after surgery. However, with ongoing work, you will be able to further improve your gait and balance over time.
Many of our patients have previously been fitted with socket prosthetics. Existing prosthetics can be adapted to ensure their compatibility with your osseointegrated implant. Patients may also exchange their prosthetics, or parts thereof, or undergo fitting for new components for us in special circumstances (e.g., sports, swimming).
It is important to optimise the condition and alignment of your prosthetic as you work to regain your mobility.
Patients sometimes wish to complete their rehabilitation at home. Where this is the case, we will work with clinicians and rehabilitation specialists in your own country to ensure that they are able to deliver on your specific rehabilitation goals.
We will continue to monitor your recovery and complete regular remote follow-up consultations to ensure that we can adapt to any changes.
Once home, you will also be required to visit your local prosthetist for regular hardware assessment and component replacement as necessary.
You can schedule your surgery with Prof. Dr Al Muderis, who will travel to PEI throughout the year to consult with, and operate on, patients. If you wish to have your surgery urgently, please get in touch with our team.
The cost of osseointegration varies from person to person, and is calculated based on a wide range of particular health factors. Any cost will also take account of additional procedures that may need to be completed in advance of, or alongside your osseointegration, or the need for specialist hardware.
Whether you need a visa to travel to Poland depends on your nationality, the purpose of your visit, and the length of your stay.
If you are a citizen of a European Union (EU) country, the European Economic Area (EEA), or a country within the Schengen Zone, you do not need a visa to travel to Poland. You can enter Poland, and remain, for an unlimited period for your care as long as you have a valid passport or ID card. If you plan to stay in Poland for more than 90 days, you must register with the local authorities, but do not need a visa
Citizens of certain non-EU countries, including the U.S., the UK, Australia, and Canada, can enter Poland without a visa for short stays of up to 90 days within a 180-day period. If you plan to stay in Poland for more than 90 days, you must apply for a long-stay national visa (D visa) or a residence permit.
If you are traveling to Poland specifically for medical treatment, and your stay will exceed 90 days, you may need to apply for a medical treatment visa.
Starting from 2025, non-EU travellers from visa-exempt countries (such as the U.S., UK, Canada, and Australia) will need to apply for an ETIAS (European Travel Information and Authorization System) authorization to enter the Schengen Area, including Poland.
Yes! The team speaks English, as well as several other languages. The PEI also works with translators and translation software to ensure comprehension and understanding between patients and staff.
Overseas patients undergoing medical treatment in Poland have access to several health protections and rights that are designed to ensure safety, quality care, and patient rights. These protections are governed by both national regulations and European Union (EU) laws, depending on the patient’s origin.
Patients from EU member states are protected under the EU Cross-Border Healthcare Directive.
The Local Medical Chambers in Poland play a vital role in protecting the safety, rights, and quality of care for all patients, including those from abroad. As well as providing resources and information for patients, They ensure that medical professionals are well-qualified and uphold ethical standards, and that patients have a clear path to file complaints or seek recourse in cases of malpractice or substandard care.
The local medical chambers work closely with the Polish Supreme Medical Chamber (Naczelna Izba Lekarska), the national body that oversees all local chambers and sets overarching policy for the medical profession in Poland. Together, they help shape healthcare regulations, patient protection policies, and professional standards.
The Ombudsman for Patient Rights is also available to overseas patients undergoing care in Poland, in the event that they need to resolve a dispute or make a complaint.
If you’re interested in care in Europe, or would like further information, please complete the form below and a member of our team will be in touch.
Aleja Rzeczypospolitej 1, 02-972 Warszawa, Poland.
The Osseointegration Group exists to enable amputees worldwide to improve their quality of life through the application of clincal expertise and technical and technological innovation.
Information provided via this website is for educational and communication purposes only. The material presented is neither intended to convey the only, nor necessarily the best, method or procedure, but rather represents techniques and procedures used by The Osseointegration Group (OG). OG disclaims any and all liability for injury and/or other damages which result from an individual using techniques presented on this website. To the best of our knowledge, we believe the information presented is current and applicable to work being done by orthopaedic surgeons worldwide