Life Without
a Socket.
Freedom Starts Here.

Eligibility is individually assessed — not all amputees are suitable candidates, and we'll give you an honest answer. Assessment is based on bone quality, general health, and amputation profile. Osseointegration is available for:

• Above and below knee (transfemoral / transtibial)
• Above and below elbow (transhumeral / transradial)
• Digital / finger amputation
• Complex cases including shoulder-level and bilateral

Our team works with complex cases — including shoulder-level and bilateral amputations. Enquire to discuss whether osseointegration is appropriate for your specific situation.

For people who have been unable to benefit from other types of treatment, and where the limb is not salvageable, amputation combined with simultaneous osseointegration may be an option. Individual assessments with our multidisciplinary team would be completed to determine your suitability.

In most cases just one surgical procedure is required — unlike other osseointegration approaches that require two surgeries months apart. Recent peer-reviewed studies confirm fewer complications with the single-stage approach. For complex cases where bone lengthening or alignment correction is needed, additional procedures may be necessary — this will be discussed with you during your assessment.

No. No two osseointegration procedures are the same because no two patients are the same — varying in which limb is affected, level of amputation, bone quality, time since amputation, and individual health factors. A personalised surgical plan is developed for every patient following thorough clinical assessment.

Rehabilitation occurs in three stages over approximately 14 weeks:

• Weeks 1–2: Initial loading until target weight-bearing is reached
• Weeks 3–6: Fitting of a light training prosthesis; gait training begins
• Weeks 7–14: Fitting of definitive prosthesis; advanced mobility training

Most patients are walking independently within 4–6 weeks of surgery.

Conditions like insulin-dependent diabetes can affect healing, and suitability is assessed individually. Recent advances in technique mean patients with well-controlled diabetes can often be considered. All systemic health factors are reviewed during your pre-surgical assessment.

Yes. It is possible to have the implant removed and return to use of a traditional socket-mounted prosthesis. This is uncommon, but the option is available if clinically required.

Yes. Once your wound has healed and you have received the go-ahead from your surgeon, swimming is actively encouraged — particularly in salt water or pools. Continuing good hygiene around the stoma site is important.

Biocompatible titanium alloy with a plasma-sprayed pure titanium surface coating that actively encourages bone in-growth. The implant is custom-designed for the Osseointegration Group and is unaffected by normal temperature variation.

No. Antibiotics are part of our post-operative infection reduction protocol, but are not typically required long-term. Good stoma hygiene and regular clinical follow-up are the mainstays of ongoing care.

With an adequate level of private health insurance, hospital fees are typically covered. Non-insured patients can be referred to a public hospital waiting list. Funding for the external prosthesis (connectors, knees, feet, or arms) is generally separate. A detailed funding plan covering your specific options is presented during your initial consultation.

Osseointegration is a major surgical procedure and carries real risks. Like all surgery, general complications can include adverse reactions to anaesthesia, bleeding, and deep vein thrombosis. In addition, complications specific to bone-anchored implants include:

• Infection: Nearly all patients experience at least one superficial infection, typically soon after surgery. Superficial infections are usually treated with antibiotics. Deep infections are less common but may require surgical intervention.
• Tissue granulation: The implant rubbing against the stoma opening can cause an overgrowth of connective tissue (hypergranulation), which may cause discomfort. This is usually treated with silver nitrate.
• Stoma ooze and odour: Some leakage from the stoma site is common, particularly with increased activity. Individual factors and hygiene practices affect the degree of this.
• Periprosthetic fracture: A fracture of the bone around the implant, most commonly caused by a fall or impact. Treated surgically, as with other fractures.
• Implant loosening: If bone fails to integrate fully with the implant, loosening may occur. In such cases the implant is removed, and re-implantation may be considered once infection is ruled out.
• Pain: Stoma irritation, phantom limb pain, and neuroma pain can all occur. Several medical and surgical pain management options are available.
• Revision surgery: Under certain circumstances — including soft tissue changes, implant loosening, or deep infection — revision of the osseointegration may be necessary.

Our multidisciplinary team works to minimise your individual risk through careful pre-surgical assessment and structured follow-up care. All risks will be discussed in detail during your consultation.

Both socket and osseointegrated prostheses carry their own pain profiles. Sockets are associated with pressure-related pain, blisters, skin breakdown, abscesses, and chafing. Osseointegration carries risk of stoma pain, granulation, and infection at the implant site. Phantom limb pain can occur with any prosthetic type. Clinical evidence indicates that overall mobility and quality of life outcomes are significantly better with osseointegration — however, it is not a pain-free procedure, and individual outcomes vary.

A small fraction of cases worldwide have required replacement or removal of the implant. The Osseointegration Group has one of the lowest revision rates in the field, attributable to the single-stage surgical approach, implant design, and structured post-operative care. All outcomes data is available on request and discussed during consultation.