OTA International (Mar 2025)

Consensus statement on the prevention, diagnosis, and management of infection following transcutaneous osseointegration for patients with limb loss: current state-of-the-art and proposed future studies

  • Jason S. Hoellwarth, MD,
  • Colin Harrington, MD,
  • S. Robert Rozbruch, MD,
  • Benjamin K. Potter, MD, FACS,
  • Joseph R. Hsu

DOI
https://doi.org/10.1097/oi9.0000000000000369
Journal volume & issue
Vol. 8, no. 1S

Abstract

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Abstract. The diagnosis, risk factors, treatment algorithms, and long-term sequelae of superficial and deep, implant-related infections in transdermal, bone-anchored osseointegration are not well-defined. In contrast to the robust experience diagnosing and managing periprosthetic joint infections in total joint arthroplasty, osseointegration surgery has only recently been adopted at a small number of osseointegration centers in the United States, contributing to the lack of long-term outcomes. Through the pooled experience from these osseointegration centers, we present a consensus statement on the perioperative management, incidence, treatment, and diagnostic workup for infectious complications following transdermal, bone-anchored osseointegration.