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Evidence to Improve Care

Osseointegrated Prosthetic Implants for People With Lower-Limb Amputation

Draft recommendation

  • Health Quality Ontario, under the guidance of the Ontario Health Technology Advisory Committee, recommends against publicly funding osseointegrated prosthetic implants for people with lower-limb amputation

Read the draft recommendation report

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After someone has lost a leg through amputation, they have options for the kind of artificial limb, or prosthesis, they can use to help them walk again. One is a socket prosthesis, which attaches the artificial limb to the remaining part of the leg. But a socket prosthesis can cause friction, leading to discomfort and skin problems that can make movement and walking difficult.

A newer option is called an osseointegrated prosthetic implant, which involves surgically implanting a metal rod into the person’s leg bone. The artificial leg is then connected to the rod. However, these implants can cause serious complications, including leg, soft tissue, and bone infections.

Health Quality Ontario looked at the effectiveness, safety, and cost-effectiveness of osseointegrated prosthetic implants for lower-limb amputees. We also looked at the budget impact of publicly funding them and the experiences, preferences, and values of people who have had a leg amputation.

Read the full Health Technology Assessment report for more information.


Osseointegrated Prosthetic Implants for People With Lower-Limb Amputation: A Health Technology Assessment (PDF)
March 2019

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Health Technology Assessment at Health Quality Ontario

As part of our core function to promote health care supported by the best available evidence, we use established scientific methods to analyze the evidence for a wide range of health interventions, including diagnostic tests, medical devices, interventional and surgical procedures, health care programs and models of care. These analyses are informed by input from a range of individuals, including patients and clinical experts. The Ontario Health Technology Advisory Committee — a committee of the Health Quality Ontario board of directors — reviews the evidence and makes recommendations about whether health care interventions should be publicly funded or not. Draft recommendations are posted on the Health Quality Ontario website for feedback. Final recommendations are approved by our board of directors and then shared with the Ministry of Health and Long-Term Care. For more detailed information, visit our Evidence to Improve Care pages.


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