A conceptual framework for soft tissue management of transdermal bone-anchored implants in extremity prostheses.

Wordsworth, Matthew; Harrington, Colin J; Juckett, Luke; Souza, Jason M; Global Collaborative Congress on Osseointegration (GCCO) · OTA Int · 2025

expert_opinion · Level V

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Abstract

Soft tissue complications are among the most common reasons for revision surgery following transdermal, bone-anchored osseointegration. While many orthopaedic surgeons are familiar and experienced with the use of intramedullary implants, the soft tissue management surrounding a percutaneous and permanent implant in continuity with the outside environment remains a challenging problem. With this in mind, we present our rationale and a framework for soft tissue considerations in preparation for bone-anchored osseointegration based on early experiences with most commercially available osseointegration systems.