Cost effectiveness of osseointegration

Frossard, Laurent A., Formosa, Danielle, Quincey, Tanya, Berg, Debra, & Burkett, Brendan (2015) Cost effectiveness of osseointegration. In 2nd Australasian Osseointegrated for Amputees Conference, 13 March 2015, Brisbane Convention & Exhibition Centre, QLD.



Individuals with limb amputation fitted with conventional socket-suspended prostheses often experience socket-related discomfort leading to a significant decrease in quality of life. Bone-anchored prostheses are increasingly acknowledged as viable alternative method of attachment of artificial limb. In this case, the prosthesis is attached directly to the residual skeleton through a percutaneous fixation.

To date, a few osseointegration fixations are commercially available. Several devices are at different stages of development particularly in Europe and the US. [1-15] Clearly, surgical procedures are currently blooming worldwide. Indeed, Australia and Queensland, in particular, have one of the fastest growing populations.

Previous studies involving either screw-type implants or press-fit fixations for bone-anchorage have focused on biomechanics aspects as well as the clinical benefits and safety of the procedure. [16-25]

In principle, bone-anchored prostheses should eliminate lifetime expenses associated with sockets and, consequently, potentially alleviate the financial burden of amputation for governmental organizations.

Sadly, publications focusing on cost-effectiveness are sparse. In fact, only one study published by Haggstrom et al (2012), reported that “despite significantly fewer visits for prosthetic service the annual mean costs for osseointegrated prostheses were comparable with socket-suspended prostheses”.[26]

Consequently, governmental organizations such as Queensland Artificial Limb Services (QALS) are facing a number of challenges while adjusting financial assistance schemes that should be fair and equitable to their clients fitted with bone-anchored prostheses.

Clearly, more scientific evidence extracted from governmental databases is needed to further consolidate the analyses of financial burden associated with both methods of attachment (i.e., conventional sockets prostheses, bone-anchored prostheses).

The purposes of the presentation will be:

  1. To outline methodological avenues to assess the cost-effectiveness of bone-anchored prostheses compared to conventional sockets prostheses,

  2. To highlight the potential obstacles and limitations in cost-effectiveness analyses of bone-anchored prostheses,

  3. To present preliminary results of a cost-comparison analysis focusing on the comparison of the costs expressed in dollars over QALS funding cycles for both methods of attachment.

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ID Code: 82497
Item Type: Conference Item (UNSPECIFIED)
Refereed: Yes
Additional URLs:
Keywords: Osseointegration, Bone-anchored prosthesis, Amputation, cost-effectiveness
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > QUT Faculties and Divisions > Science & Engineering Faculty
Current > Schools > School of Exercise & Nutrition Sciences
Copyright Owner: Copyright 2015 [please consult the author]
Deposited On: 15 Mar 2015 23:17
Last Modified: 17 Mar 2015 10:06

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