Implant attached to bone in pioneering technique that helps prevent infection and discomfort
Revolutionary technology at a north London hospital has transformed the lives of amputees taking part in a trial by allowing artificial limbs to be attached directly to their skeleton, giving them feeling and mobility far beyond that experienced by people with traditional prosthetics.
Unlike traditional ball-and-socket joints where a socket is placed over the soft tissue of the stump, Itap (intraosseous transcutaneous amputation prosthesis) involves insertion of a metal implant that forms a direct interface with the bone and sticks out through the skin for the prosthetic to be attached.
If the trial conducted at the Royal National Orthopaedic hospital (RNOH) and the Royal Orthopaedic hospital in Birmingham, which ended in June, is deemed a success, Itap could be rolled out across the UK and internationally through specialist clinics.
Mark O'Leary, 40, from south London, was one of the first of 20 above-the-knee amputees to take part in the trial. He described the change it had made to his life. "Just knowing where my foot is, my ability to know where it is improved dramatically because you can feel it through the bone. A textured road crossing, I can feel that. You essentially had no sensation with a socket and with Itap you can feel everything," he said.
"It's like they've given me my leg back. I know that sounds a bit trite. With this thing I just click the stump on in the morning and I can walk as far as I like, do anything I want within reason. There's no limit."