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Evidence to Improve Care

Osseointegrated Prosthetic Implants for People With Lower-Limb Amputation

Draft Recommendation – revised*

  • Health Quality Ontario, under 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 draft recommendation report

*Note: This draft recommendation was updated June 26, 2019

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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)
June 2019

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About Health Quality Ontario

Health Quality Ontario is the provincial lead on the quality of health care. We help nurses, doctors and other health care professionals working hard on the frontlines be more effective in what they do—by providing objective advice and data, and by supporting them and government in improving health care for the people of Ontario.

We focus on making health care more effective, efficient and affordable through a legislative mandate of:

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  • Finding the best evidence of what works, and

  • Translating this evidence into clinical standards; recommendations to health care professionals and funders; and tools that health care providers can easily put into practice to make improvements.


For more information about Health Quality Ontario, visit hqontario.ca.


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