Reconstructive Review (Dec 2013)

Stage II Osteointegration Implant (OI) Skin Coupling Procedure (Continuation from Case Report September 2013)

  • Ronald Hillock, MD,
  • John Keggi, MD,
  • Robert Kennon, MD,
  • Edward McPherson, MD,
  • Terry Clyburn, MD,
  • Declan Brazil, PhD,
  • Timothy McTighe, Dr. HS

DOI
https://doi.org/10.15438/rr.v3i4.51
Journal volume & issue
Vol. 3, no. 3

Abstract

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Patient’s over health was unchanged following stage I procedure, 8/17/2013, 123 days post surgery. The patient had been followed closely since the time of the stage I procedure. The patient was 65 years of age at the time of the Stage II procedure, 12/18/2013. Her wounds at the residual limb had completely healed without any problems by 14 days after the Stage I surgery. Her pain medication requirement was completely resolved by day 21 after the Stage I surgery. She had worn a stump shrinking compressive stalking for the majority of the time leading up to the Stage II procedure; the patient reported that the pressure on the residual limb was comforting. The scar was tender over the lateral aspect of the residual limb with a positive Tinel’s Sign [1] and no palpable mass or swelling. A planning full length standing radiograph of both limbs on a long image cassette was obtained (see figure 1). All imaging studies showed the femoral implant positioned as it had been on the day of the Stage I procedure with progressive evidence of boney in-growth as demonstrated by the plain film images.