{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,3]],"date-time":"2025-04-03T04:21:21Z","timestamp":1743654081831,"version":"3.40.3"},"reference-count":11,"publisher":"Springer Science and Business Media LLC","issue":"2","license":[{"start":{"date-parts":[[2025,2,19]],"date-time":"2025-02-19T00:00:00Z","timestamp":1739923200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"},{"start":{"date-parts":[[2025,2,19]],"date-time":"2025-02-19T00:00:00Z","timestamp":1739923200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Oper Orthop Traumatol"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:p>Transcutaneous osseointegration prosthetic systems (TOPS) are intended to provide stable skeletal attachment for artificial limbs after extremity amputation and is an alternative for socket attachment. TOPS for individuals with limb amputation using osseointegration implants (OI) has proven to consistently and significantly improve quality of life and mobility for the vast majority of amputees, previously using a\u00a0socket prosthesis also experiencing socket-related problems. As with any implant, complications such as infection, aseptic loosening, or implant fracture can occur, which may necessitate hardware removal. Approximately half of patients who undergo a\u00a0below-knee amputation are able to utilize an artificial leg acceptably well with a\u00a0socket-suspended prosthesis. However, the other half of patients experience limitations resulting in reduced prosthesis use, mobility, and quality of life. Limb-to-prosthesis energy transfer is poor because of the so-called \u201cpseudojoint\u201d (i.e., the soft tissue interface), and gross mechanical malalignment is common. Furthermore, transtibial amputees may experience irritation from pistoning and suction at the residual limb\u2013socket interface. These issues result in skin problems and difficulties with socket fit because of fluctuation in the size of the residual limb size, resulting in a\u00a0decrease in overall satisfaction and confidence in mobility. A\u00a0bone-anchored implant creates a\u00a0direct skeletal connection between the residual limb and artificial leg, in which energy transfer is optimal and mechanical alignment is significantly improved.<\/jats:p>","DOI":"10.1007\/s00064-025-00888-8","type":"journal-article","created":{"date-parts":[[2025,2,19]],"date-time":"2025-02-19T08:41:55Z","timestamp":1739954515000},"page":"89-100","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Surgical technique of a\u00a0transcutaneous\u00a0osseointegration\u00a0prosthesis\u00a0system (TOPS) for transtibial amputees","Operationstechnik f\u00fcr ein transkutanes osseointegriertes Prothesensystem (TOPS) f\u00fcr Patienten mit Unterschenkelamputation"],"prefix":"10.1007","volume":"37","author":[{"given":"Jan Paul","family":"Fr\u00f6lke","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ruud","family":"Leijendekkers","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robin","family":"Atallah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,2,19]]},"reference":[{"issue":"8","key":"888_CR1","doi-asserted-by":"crossref","first-page":"e0201821","DOI":"10.1371\/journal.pone.0201821","volume":"13","author":"R Atallah","year":"2018","unstructured":"Atallah\u00a0R, Leijendekkers\u00a0RA, Hoogeboom\u00a0TJ, Fr\u00f6lke\u00a0JP (2018) Complications of bone-anchored prostheses for individuals with an extremity amputation: a\u00a0systematic review. PLoS ONE 13(8):e201821","journal-title":"PLoS ONE"},{"issue":"3","key":"888_CR2","doi-asserted-by":"crossref","first-page":"e0230027","DOI":"10.1371\/journal.pone.0230027","volume":"15","author":"R Atallah","year":"2020","unstructured":"Atallah\u00a0R, van de Meent\u00a0H, Verhamme\u00a0L, Fr\u00f6lke\u00a0JP, Leijendekkers\u00a0RA (2020) Safety, prosthesis wearing time and health-related quality of life of lower extremity bone-anchored prostheses using a\u00a0press-fit titanium osseointegration implant: a\u00a0prospective one-year follow-up cohort study. PLoS ONE 15(3):e230027","journal-title":"PLoS ONE"},{"issue":"3","key":"888_CR3","doi-asserted-by":"publisher","first-page":"PMC7062258","DOI":"10.1371\/journal.pone.0230027","volume":"15","author":"R Atallah","year":"2020","unstructured":"Atallah\u00a0R, Meent\u00a0H van de, Verhamme\u00a0L, Fr\u00f6lke\u00a0JP, Leijendekkers\u00a0RA (2020) Safety, prosthesis wearing time and health-related quality of life of lower extremity bone-anchored prostheses using a press-fit titanium osseointegration implant: A prospective one-year follow-up cohort study. PLoS One 15(3):e0230027. https:\/\/doi.org\/10.1371\/journal.pone.0230027. PMID: 32150598; PMCID: PMC7062258","journal-title":"PLoS One"},{"key":"888_CR4","doi-asserted-by":"crossref","first-page":"563","DOI":"10.1097\/00002060-200108000-00003","volume":"80","author":"TR Dillingham","year":"2001","unstructured":"Dillingham\u00a0TR, Pezzin\u00a0LE, MacKenzie\u00a0EJ, Burgess\u00a0AR (2001) Use and satisfaction with prosthetic devices among persons with trauma-related amputations: a\u00a0long-term outcome study. Am J Phys Med Rehabil 80:563\u2013571","journal-title":"Am J Phys Med Rehabil"},{"issue":"2","key":"888_CR5","doi-asserted-by":"publisher","first-page":"e23.00006","DOI":"10.2106\/JBJS.ST.23.00006","volume":"14","author":"JP Fr\u00f6lke","year":"2024","unstructured":"Fr\u00f6lke\u00a0JP, Atallah\u00a0R, Leijendekker\u00a0RA (2024) Press-fit Bone-anchored prosthesis for individuals with Transtibial amputation. JBJS Essent Surg Tech 14(2):e23.00006. https:\/\/doi.org\/10.2106\/JBJS.ST.23.00006","journal-title":"JBJS Essent Surg Tech"},{"issue":"4","key":"888_CR6","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1007\/s00113-016-0302-1","volume":"120","author":"JP Fr\u00f6lke","year":"2017","unstructured":"Fr\u00f6lke\u00a0JP, Leijendekkers\u00a0RA, van de Meent\u00a0H (2017) Osseointegrated prosthesis for patients with an amputation: multidisciplinary team approach in the Netherlands. Unfallchirurg 120(4):293\u2013299","journal-title":"Unfallchirurg"},{"issue":"2","key":"888_CR7","doi-asserted-by":"publisher","first-page":"162","DOI":"10.1302\/0301-620X.102B2.BJJ-2019-0697.R2","volume":"102-B","author":"JS Hoellwarth","year":"2020","unstructured":"Hoellwarth\u00a0JS, Tetsworth\u00a0K, Kendrew\u00a0J, Kang\u00a0NV, Waes\u00a0O van, Al-Maawi\u00a0Q, Roberts\u00a0C, Al Muderis\u00a0M (2020) Periprosthetic osseointegration fractures are infrequent and management is familiar. Bone Joint J 102-B(2):162\u2013169. https:\/\/doi.org\/10.1302\/0301-620X.102B2.BJJ-2019-0697.R2. PMID: 32009427; PMCID: PMC7002843","journal-title":"Bone Joint J"},{"issue":"1","key":"888_CR8","doi-asserted-by":"crossref","first-page":"484","DOI":"10.1186\/s12891-016-1341-z","volume":"17","author":"RA Leijendekkers","year":"2016","unstructured":"Leijendekkers\u00a0RA, Staal\u00a0JB, van Hinte\u00a0G, Fr\u00f6lke\u00a0JP, van de Meent\u00a0H, Atsma\u00a0F, Nijhuis-van der Sanden\u00a0MW, Hoogeboom\u00a0TJ (2016) Long-term outcomes following lower extremity press-fit bone-anchored prosthesis surgery: a\u00a05-year longitudinal study protocol. 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Clin Orthop Relat Res 480(4):722\u2013731. https:\/\/doi.org\/10.1097\/CORR.0000000000002074","journal-title":"Clin Orthop Relat Res"}],"container-title":["Operative Orthop\u00e4die und Traumatologie"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00064-025-00888-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00064-025-00888-8\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00064-025-00888-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,2]],"date-time":"2025-04-02T19:50:40Z","timestamp":1743623440000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00064-025-00888-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,19]]},"references-count":11,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,4]]}},"alternative-id":["888"],"URL":"https:\/\/doi.org\/10.1007\/s00064-025-00888-8","relation":{},"ISSN":["0934-6694","1439-0981"],"issn-type":[{"type":"print","value":"0934-6694"},{"type":"electronic","value":"1439-0981"}],"subject":[],"published":{"date-parts":[[2025,2,19]]},"assertion":[{"value":"14 April 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 June 2024","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"3 July 2024","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 February 2025","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"J.P.\u00a0Fr\u00f6lke and R.\u00a0Atallah are stock holders of AOFE clinics which is a focus health care clinic on limb amputation. R.\u00a0Leijendekkers declares that he has competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"For this article no studies with human participants or animals were performed by any of the authors. All studies mentioned were in accordance with the ethical standards indicated in each case.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}