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Surgical
Procedure

Depending on the patient's conditions, the surgical procedure can be performed in one or two phases. As no patient is the same, the surgical process is adapted to individual needs.

The first phase usually consists of:

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Soft tissue management and excision of remaining skin and fat.

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The goal is to reduce the distance between the bone and the skin to reduce the incidence of complications.

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Reorganization of muscle groups to serve a functional purpose and facilitate limb handling.

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Soft tissue accommodation around the stem.

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The remaining bone is reshaped and any bone spurs are removed.

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The bone canal is prepared using a special instrument. The internal component (stem) is inserted retrograde ensuring stability and bone growth.

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If there is a neuroma causing nerve pain, it is removed and the residual nerve is repositioned in the muscle group to minimize problems posterior nerves.

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The stump is cosmetically reshaped and the wound is closed in layers.

A period of 6-8 weeks is taken after the first phase, to allow osseointegration. However, if the surgery is performed in a single phase, the above description will be performed during the first surgical phase.

The second phase usually consists of:

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Creation of a circular opening in the skin (stoma) at the base of the residual limb. Through this opening, the dual adapter is attached conical to the stem, which is already integrated into the bone. The components of the exoprosthesis can be connected later.