NYU Langone Health has accomplished its first set of surgical procedures utilizing the one U.S. Food and Drug Administration (FDA)-approved implantable prosthetic for folks with limb loss accessible within the larger New York City space. The process, referred to as osseointegration, seeks to enhance high quality of life for folks with limb loss by enhancing the connection between limb and prosthesis.
The two-step surgical process was carried out by physicians at NYU Langone’s Center for Amputation Reconstruction in partnership with Integrum, which developed the Osseoanchored Prostheses for the Rehabilitation of Amputees (OPRA) Implant System. The OPRA Implant System is the primary and solely FDA-approved know-how for bone-anchored prostheses within the United States.
“The alternative to offer this distinctive and complete resolution for our sufferers signifies a paradigm shift within the remedies we’re in a position to supply people with limb loss and assist enhance their day-to-day lives,” says Omri B. Ayalon, MD, an orthopedic surgeon and co-director of the Center for Amputation Reconstruction. “Osseointegration is a life-changing process, and we collaborate with our multidisciplinary workforce to tailor the therapy plan to every particular person’s wants and expectations.”
Led by Dr. Ayalon and Jacques H. Hacquebord, MD, the Center for Amputation Reconstruction now provides osseointegration therapy to its different superior surgical strategies and prosthetic applied sciences for people experiencing limb loss. Its skilled workforce contains extremely expert surgeons, on-site occupational therapists, prosthetists, and psychological well being professionals who collaborate on the care supplied to each affected person. Nicola Fabbri, MD, chief of the Division of Orthopedic Oncology, a part of NYU Grossman School of Medicine’s Department of Orthopedics and NYU Langone’s Perlmutter Cancer Center, may also incorporate this system into therapy choices for sufferers with bone most cancers as a part of the spectrum of methods geared toward maximizing perform, together with complicated limb preservation and limb restoration by osseointegration.
Osseointegration is a surgical process to completely implant a titanium system into the bone for direct attachment to a synthetic limb. This revolutionary method is a viable different to straightforward socket prostheses, and provides a spread of advantages for sufferers with limb loss, together with improved mobility, enhanced consolation, and decreased stress. Osseointegration eliminates issues associated to pores and skin irritation or restricted ambulation with the prosthesis. People with osseointegrated implants get pleasure from larger notion of surfaces, decreased residual limb ache, larger stability, and elevated utilization of their prosthetic limbs.
The OPRA Implant System is put in through two surgical procedures. In the primary surgical procedure, medical doctors implant the fixture into the bone, after which ample therapeutic time is allowed for the bone to completely develop onto the fixture and anchor it. In the second surgical procedure, medical doctors connect an abutment to the fixture and lengthen it by way of the pores and skin to attach it to the exterior prosthesis. More conventional rehabilitation is then performed, together with becoming with a custom-made last prosthesis.
The Center for Amputation Reconstruction workforce efficiently accomplished the preliminary surgical process, carried out by Dr. Ayalon and Dr. Hacquebord, for his or her first affected person in August 2022. The second surgical procedure was carried out in November 2022.
In December 2020, the FDA accredited OPRA for individuals who have transfemoral, or above-knee, amputations and who’ve or are anticipated to have rehabilitation issues with, or can’t use, a traditional socket prosthesis.
The Center for Amputation Reconstruction is a part of NYU Langone’s orthopedic surgical procedure program. NYU Langone is ranked among the many high 5 hospitals within the nation for orthopedics by U.S. News & World Report.