Osseointegration fixes a metal implant inside the bone of the residual limb. A connector passes through the skin, and the prosthesis clicks onto it, so no socket is worn. The systems listed are the Integrum OPRA Implant System and the OTN Implants BADAL X. People consider this route mainly when a conventional socket causes repeated skin problems, poor fit or pain. It is surgery, followed by a staged loading and rehabilitation programme, and it carries risks including infection at the skin opening. Assessment and treatment take place at specialist centres, and these systems are listed here for reference.

• IN

  Price on request

  OPRA Implant System

  Integrum

  Bone-anchored implant systems. A titanium implant anchored in the bone that lets a prosthesis attach without a socket.

  Sweden · PR-082

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• OI

  Price on request

  BADAL X

  OTN Implants

  Bone-anchored implant systems. A bone-anchored 'click' prosthesis implant system.

  Netherlands · PR-083

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How to choose

• Start with a referral to a centre that performs the procedure, as eligibility is decided by a surgical team.
• Ask about the full timeline, including the number of operations and months of gradual weight bearing.
• Understand the daily care of the skin opening and what activities the centre advises against.
• Check which knees, feet or hands and which safety connectors are approved for use with the implant.

Common questions

What is osseointegration for amputees?

It is a surgical method in which an implant bonds with the bone of the residual limb and a prosthesis attaches to it directly. Load passes through the skeleton, and there is no socket around the limb.

Who is a candidate for a bone-anchored prosthesis?

Candidates are assessed individually by a specialist team. It is generally considered for adults who have ongoing problems with socket prostheses. Bone quality, general health and other factors are reviewed before a decision.