First Peripheral Vascular Disease Patient With 10-Year Follow-up After Transtibial Osseointegration
Issued Date
2024-11-19
Resource Type
ISSN
24747661
Scopus ID
2-s2.0-85209900092
Journal Title
Journal of the American Academy of Orthopaedic Surgeons Global Research and Reviews
Volume
8
Issue
11
Rights Holder(s)
SCOPUS
Bibliographic Citation
Journal of the American Academy of Orthopaedic Surgeons Global Research and Reviews Vol.8 No.11 (2024)
Suggested Citation
Wongcharoenwatana J., Alttahir M., Arrieta N.J., Al Muderis M. First Peripheral Vascular Disease Patient With 10-Year Follow-up After Transtibial Osseointegration. Journal of the American Academy of Orthopaedic Surgeons Global Research and Reviews Vol.8 No.11 (2024). doi:10.5435/JAAOSGlobal-D-24-00229 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/102222
Title
First Peripheral Vascular Disease Patient With 10-Year Follow-up After Transtibial Osseointegration
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Corresponding Author(s)
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Abstract
Peripheral vascular disease (PVD) presents significant challenges for patients, often leading to lower-limb amputations. Transtibial amputations in PVD patients are complicated by various factors, including compromised skin and neuropathy, hindering the use of standard socket prostheses. Osseointegration surgery has emerged as a promising alternative, improving prosthetic use and overall mobility for patients. This case report presents a 10-year follow-up of a 74-year-old male with a history of failed femoral-popliteal bypass and multiple vascular surgeries who underwent transtibial osseointegration surgery. Clinical and functional outcomes, as well as adverse events, were monitored and evaluated. At the 10-year follow-up, the patient demonstrated significant improvements in mobility, walking unaided with the osseointegrated prosthesis and reporting no pain. Functional assessments showed enhancements in walking ability and quality of life over the follow-up period. Radiographic assessments confirmed stable osseointegration without complications. Transtibial osseointegration in PVD patients can lead to long-term improvements in mobility and quality of life, with sustained benefits over a 10-year follow-up period. Despite some decline in functional outcomes over time, the procedure remains a viable option for enhancing mobility and overall well-being in select patients with PVD.