Osseointegration at CU Orthopedics
We are one of the first dedicated and unique osseointegration programs in the country. Our unique program is dedicated to amputee patients who are experiencing difficulty with their prosthesis.
What is Osseointegration
Osseointegration of the limb is a surgical procedure used for permanent placement of artificial limbs connected to the human skeleton. A metal implant is inserted into the amputated extremity bone. The connector passes through the skin and attaches to the prosthesis.
- Pain or irritation such as sores and chafing with your prosthesis socket
- Difficulty walking, standing, or sitting with your prosthesis socket
- Sudden loosening or fitting-problems
- Improved quality of life
- Less pain or irritation experienced with socket prosthesis such as sores, chaffing, or sweating
- Longer walking distances and better sitting comfort
- Better stability standing or walking
- Osseoperception: a more natural feeling; the ability to sense or feel the prosthesis
The evaluation process begins with a clinical pre-screening to determine if you are a candidate for surgery. In-person screening and testing is scheduled based on pre-screening outcomes. If osseointegration surgery is right for you, additional baseline testing may be planned and may be sent home with pre-habilitation exercises to improve your strength or flexibility.
The device is implanted into the bone via a two-stage surgical procedure (some patients may have this done in a single stage), 6-8 weeks apart. The two-stage technique allows for good bone ingrowth into the implant prior to weight bearing. In the first stage, the length of the bone may be adjusted and the soft tissue is prepared. The device is implanted and the skin is closed. You will stay in the hospital for 1-2 days and be non-weight bearing until after the second surgery.
After 6-8 weeks, you will have the second surgical procedure. This procedure is an outpatient surgery with no anticipated hospital stay. A circular opening is made in the skin creating a stoma, to allow for attachment of the external implant component that is secured with an internal locking screw. Within one week after the second surgery, you will meet with a prosthetist and your prosthesis is attached to the external implant component and you will begin walking socket free.
Dr. Stoneback believes that rehabilitation plays an essential role in osseointegration success. You will meet with our Physical Medicine and Rehab team at your initial consult and again preoperatively. Rehabilitation is individualized and you can expect three weeks of physical therapy with our team following osseointegration. Once home, we will work with your local physical therapist to ensure post-operative plans are executed. 5
University of Colorado Hospital Orthopedics
The nationally-ranked University of Colorado Orthopedics program at UCHealth University of Colorado Hospital in metro Denver provides care and treatment for injuries and conditions involving complex orthopedic conditions.
We provide you with the highest quality, professional and ethical care for your musculoskeletal conditions and injuries. Our physicians and specialists are experts in their fields, with long experience treating patients both young and old who have a wide range of active lifestyles.
Why we’re #1 in Colorado
Our ranking as one of the nation’s top orthopedics programs by U.S. News & World Report is proof that we deliver a level of care that’s unmatched in Colorado. University of Colorado Hospital has been ranked the #1 hospital in Colorado 7 years running. We are also nationally ranked by Becker’s Hospital Review, and our team is proud to be ranked among 5280’s Tops Docs.
We perform minimally invasive techniques and outpatient procedures whenever possible, but should you need surgery, our experienced team performs more than 4,000 a year.
Working in the productive environment of an academic medical center, our fellowship-trained physicians use the most advanced treatments and technologies to create a pioneering, interdisciplinary approach to orthopedic care.
Our research division is constantly investigating ground-breaking techniques and treatments, making sure you receive the best of the best to get you back in motion.
Meet our Team
(Left to Right)
Maria Kouzmina, Jason Stoneback, Kristin Loker, Lauren Anderson, Flor Aguilar,
Limb Restoration Program Osseointegration Team
Jason Stoneback, MD, is the Director of Limb Restoration Program at UCHealth. He specializes in the treatment of simple and complex fractures, nonunions, malunions, limb-length discrepancies, deformity correction, and limb restoration.
||Katherine Payne, MD
Physical Medicine & Rehabilitation
||Kristen Loker, MSN, NP-C|
||Maria Kouzmina, NP
||KellyAnne Bultemeier, MEd, ATC, CES|
Certified Athletic Trainer
||Lauren Anderson, RN, BSN
||Christopher Edgar, BS|
||Guy Lev, PT, DPT, COMT
Supervisor Rehab Services
||Chris Hoyt, C.P.|
Professional Research Assistant
Orthopedic Trauma Program Coordinator
How to contact the team:
Someone from our team can answer any questions you may have via phone or email.
Office Phone: 1-844-800-LIMB (5462)