Osseointegration Europe

Osseointegration surgery with Prof. Munjed Al Muderis and his Team in Poland at the Paley European Institute.

Osseointegration at Paley European Institute

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.

Why Choose Osseointegration in Europe?

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.

Meet the Osseointegration Team at PEI

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 longterm followup, medical advice and aftercare. 

Overview of the Osseointegration Process at PEI

The Paley European Institute adopts the same patient-oriented approach as Professor Al Muderis’ Clinic in Australia. The fundamental principles of Osseointegration care, which have been refined over time in Australia, have been seamlessly transferred, and implemented at the Paley European Institute. This harmonious integration ensures the safety of patients and ensures consistently positive outcomes.

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.  

  1. First, the soft tissues are prepared to create the best functional and aesthetic stump.
  2. Then the bone is prepared to accommodate the planned implant.
  3. Further, the implant is carefully fitted inside the bone and checked for stability.
  4. Finally, the procedure is completed by closing the muscles and skin and creating a circular opening (stoma), allowing the tip of the implant to come through the skin.

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 in Poland, 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 with Prof Munjed Al Muderis in Europe - FAQs

Your surgery can be performed by Professor Al Muderis and his team during the surgical sessions held in Poland twice a year.

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: 

  • which limb is amputated, 
  • the level of amputation, 
  • the cause of amputation, 
  • the time since amputation, 
  • the individual’s bone quality, 
  • the amount of muscle and soft tissue coverage, and 
  • the integrity of the skin surrounding the residual stump. 

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.  

In some countries Osseointegration is available via public health, you may inquire to your national health insurer about the reimbursement of your procedure.
There are multiple insurance options to cover the costs of your procedure, including a private health plan, accident or workers’ compensation, and more. We recommend reaching out to us for guidance on determining the appropriate level of coverage.
Yes, you can. However, we aim to ensure that your personal finances do not negatively affect your health. We understand that unforeseen additional expenses may arise during the process, so we strongly advocate for your medical treatment costs to be covered by your insurance, rather than being paid out of your own pocket.
If you are a citizen of European Union or Schengen area, you do not need a visa to get your treatment in Poland. If you come from outside of Schengen zone, you need to confirm the need for visa in the Polish Embassy in your home country.
The pre-surgical assessment, medical condition optimisation, and implant preparation typically require several weeks to several months to complete. We prioritise your safety and will proceed with the surgery once we deem it appropriate and safe for you. While we accommodate all patients’ needs immediately; the procedure will be performed on the earliest surgical session of Professor Al Muderis in Poland.
Following the operation, you will have routine follow-up appointments with the surgeon at specific intervals: 2 weeks, 6 weeks, 3 months, 6 months, 12 months, and then annually. All the follow-ups can be performed in person at Paley European Institute – with Prof Al Muderis or his team members. If you cannot attend the clinic we will organise a Telehealth with you and we can invite your doctor to the session.
PEI has an established team to look after International patients. We will assist you with information on transfer from the airport and accommodation and address other individual needs.
The team speaks English and several other languages. We treat international patients on a daily basis and have vast experience in overcoming language barriers with the help of interpreters or interpreting tools.
The Paley European Institute is a branch of the World-renowned Paley Institute in Florida, USA and mirrors its standards. The hospital is a state of art private facility with access to up-to-date technology. The team of surgeons have international expertise and is focused on providing a holistic patient approach, patient education and individualised care.
Professor Al Muderis has over 25 years of surgical experience. The surgical team at Paley European Institute consists of internationally trained orthopaedic surgeons with expertise in Osseointegration and at least 15 years of surgical experience.
When operated in Poland, you fall under Polish Medical Jurisdiction, Patient Rights and the local Medical Chamber.

Contact OGA for Osseointegration with Prof. Munjed Al Muderis in Europe

All prospective patients are directed to complete the enquiry form by following the link below. Our Team will review the information and provide adequate feedback promptly.
(+48) 22 150 15 10

Aleja Rzeczypospolitej 1, 02-972 Warszawa, Poland.