First Peripheral Vascular Disease Patient With 10-Year Follow-up After Transtibial Osseointegration

Abstract

Peripheral vascular disease (PVD) presents significant challenges for patients, often leading to lower-limb amputations. Transtibial amputations in PVD patients are complicated by various factors, including compromised skin and neuropathy, hindering the use of standard socket prostheses. Osseointegration surgery has emerged as a promising alternative, improving prosthetic use and overall mobility for patients. This case report presents a 10-year follow-up of a 74-year-old male with a history of failed femoral-popliteal bypass and multiple vascular surgeries who underwent transtibial osseointegration surgery. Clinical and functional outcomes, as well as adverse events, were monitored and evaluated. At the 10-year follow-up, the patient demonstrated significant improvements in mobility, walking unaided with the osseointegrated prosthesis and reporting no pain. Functional assessments showed enhancements in walking ability and quality of life over the follow-up period. Radiographic assessments confirmed stable osseointegration without complications. Transtibial osseointegration in PVD patients can lead to long-term improvements in mobility and quality of life, with sustained benefits over a 10-year follow-up period. Despite some decline in functional outcomes over time, the procedure remains a viable option for enhancing mobility and overall well-being in select patients with PVD.