Skip to main content

Evidence to Improve Care

Osseointegrated Prosthetic Implants for People With Lower-Limb Amputation

Final Recommendation

  • Health Quality Ontario, which is now the Quality business unit at Ontario Health, based on the guidance of the Ontario Health Technology Advisory Committee, recommends publicly funding osseointegrated prosthetic implants for carefully selected individuals with a lower-limb amputation resulting from a nonvascular cause, conditional on Health Canada approval

Read the final recommendation report


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)
December 2019

Use of this site, and the interpretation of the information contained here, is subject to important terms and conditions. Use of this site and information except in accordance with these terms and conditions is expressly prohibited.


The Ministry of Health is currently reviewing this recommendation.

The Ministry of Health has provided the following response: The Ministry has a standardized process in place to review Health Quality Ontario recommendations. This takes into consideration Ministry priorities, implementation options, the need for consultation with impacted stakeholders, and funding considerations.




RECEIVE NOTIFICATION OF WHEN OUR DRAFT RECOMMENDATIONS ARE OPEN FOR FEEDBACK

Sign up for our newsletter to receive monthly notifications of when draft recommendations are open for feedback

A senior couple looking at their tablet together

Let’s make our health system healthier

Join Our Patient, Family and Public Advisors Program

Patients, families and the public are central to improving health quality.


Man smiling

Sign up for our newsletter

Are you passionate about quality health care for all Ontarians? Stay in-the-know about our newest programs, reports and news.

Health Quality Connect - Health Quality Ontario's newsletter - on an iPad and a cell phone