ReviewDer Unfallchirurg2016
[Endo-exo prostheses : Osseointegrated percutaneously channeled implants for rehabilitation after limb amputation].
Review in Der Unfallchirurg, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 32 citations in OpenAlex.
- Meta-analytic evaluation of complications and longevity of bone-anchored prostheses in lower extremity amputees: does design matter?Musculoskeletal surgery · 2026Pooled it
- Complications of bone-anchored prostheses for individuals with an extremity amputation: A systematic review.PloS one · 2018Pooled it
- Trial
- Tibial Bone-Anchored Prostheses: A Narrative Review of the Literature and Reflection on 10 Years of Surgical Practice.Annals of biomedical engineering · 2026Review
- Advantages of customization of osseointegrated implants in transfemoral amputees: a comparative analysis of surgical planning.Journal of orthopaedic surgery and research · 2024Article
- Complications Following Osseointegrated Transfemoral and Transtibial Implants: A Systematic Review.Cureus · 2024Review
- ReliableFrontiers in bioengineering and biotechnology · 2024Article
- Review
- Comparison of functional outcome and patient satisfaction between patients with socket prosthesis and patients treated with transcutaneous osseointegrated prosthetic systems (TOPS) after transfemoral amputation.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- [Functional rehabilitation after transfemoral amputation : Shaft prosthesis or endo-exo prosthesis?]Der Unfallchirurg · 2022Review
- Preoperative femoral abduction angle correlates with initial postoperative lateral hip pain after transcutaneous osseointegrated prosthetic system (TOPS) in transfemoral amputees.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2021Article
- Article
- Three-year follow-up of changes of cortical bone thickness after implantation of Endo-Exo-Prosthesis (EEP) for transfemoral amputees.Journal of orthopaedic surgery and research · 2020Article
- [Function of prosthesis components in lower limb amputees with bone-anchored percutaneous implants : Biomechanical aspects].Der Unfallchirurg · 2017Article
- [The endo-exo prosthesis treatment concept : Improvement in quality of life after limb amputation].Der Unfallchirurg · 2017Review
- [Transcutaneous osseointegrated prosthesis (TOP) after limb amputation : Status quo and perspectives].Der Unfallchirurg · 2017Review
- Transcutaneous Osseointegrated Prosthesis Systems (TOPS) for Rehabilitation After Lower Limb Loss: Surgical Pearls.JBJS essential surgical techniquesArticle
- Transtibial Osseointegration for Patients with Peripheral Vascular Disease: A Case Series of 6 Patients with Minimum 3-Year Follow-up.JB & JS open accessArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn 1999 the first endo-exo femoral prosthesis (EEFP) was implanted in Germany in a patient who had suffered a traumatic above-knee amputation. This procedure involves a skeletally anchored exoprosthetic device that is inserted into the residual femur. The distal part of the implant protrudes transcutaneously and allows attachment to a prosthetic limb which provides direct force transmission to the external prosthetic components. The technique originated from dental implantology and helps to avoid possible problems resulting from treatment of amputated limbs using socket prostheses. In the meantime, durability times of over 10 years have now helped to invalidate the initially well-founded reservations held against the procedure.
objectiveWhat advantages can be achieved by osseointegrated and percutaneously channeled prostheses and which problems had to be overcome for treatment. MATERIAL AND
methodsCritical evaluation of data from patients operated on in Lübeck, Germany from January 2003 to December 2014.
resultsWith osseointegrated and percutaneously channeled prostheses permanent durability times can be achieved. Infection-associated soft tissue problems at the site of skin protrusion (stoma) can be successfully prevented. The creation of this so-called stoma means acceptance of a possible bacterial portal of entry into the body. Patient satisfaction has so far been high, postoperative rehabilitation is simplified and the technique could possibly lower the costs of medical treatment.
conclusionEndo-exo prostheses have proved to be successful for more than 15 years. A critical appraisal of the indications as well as a close cooperation between the surgeon, orthopedic technician and the associated rehabilitation facilities with the patient are the basis for the long-term success of this relatively new treatment approach.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.