Paley European Institute (PEI) is Osseointegration International’s partner in Europe. The Paley European Institute specialises in the treatment of congenital, developmental, and post-traumatic orthopaedic conditions.
As the European branch of the internationally renowned Paley Orthopedic & Spine Institute in Florida, USA, established over 30 years ago, it offers comprehensive care for complex limb restoration involving bone and soft tissue reconstruction. At Paley European Institute, elite surgeons employ cutting-edge techniques to restore limb functionality, providing advanced treatments for the most challenging orthopaedic conditions.
Meeting the needs and expectations, The Paley European Institute offers the patients considering Osseointegration the opportunity to have the procedure performed by one of the pioneers in the field, Prof. Munjed Al Muderis, who has his base at the Limb Reconstruction Clinic in Sydney, Australia. This collaboration aims to make the surgery easily available also to patients in Europe, who, otherwise, would have to travel to Australia to get the procedure done.
Paley European Institute has extensive experience in treating the most complex orthopaedic conditions and has successfully performed thousands of surgeries. The clinic offers a multidisciplinary approach to ensure that patients receive comprehensive care, and it is equipped with state-of-the-art facilities and technology.
Paley European Insititute specialises in treating patients from around the world, and over the years has built a team devoted to addressing and accommodating all the particular needs of international patients.
Paley European Institute in Poland follows Osseointegration Group’s multidisciplinary approach to patient assessment, holistic patient care, patient and family education, and patient’s accessibility to long–term follow–up, medical advice and aftercare.
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 optimise your general condition before the osseointegration surgery.
At the Paley European Institute 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 PEI 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.
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.
Aleja Rzeczypospolitej 1, 02-972 Warszawa, Poland.