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Osseointegration, Misinformation and Cover-up Exposure

Osseointegration, Misinformation and Cover-up Exposure

Further to my previous blog I have thought long and hard and researched the perceived attitude by the US medical and prosthetics industry. Looking at facts on the internet (public domain) and my insight and patient knowledge of the program something did not add up. Was there a good reason why osseointergration has not had a fair debate in the US? Either misinformation, creating fear of infection, or no information , example: Tonya Murray’s response to my last blog, (she had never heard of this treatment).

It turns out the US have been working on this all along. The VA through the University of UTAH http://utah.technologypublisher.com/technology/3452 have done research and clinical trials on osseointergration and lodged provisional patents. Up till now there has been no human implants performed, only an anonymous free thinking American who challenged the US medical culture by travelling to Sweden with financial sacrifices, who is now enjoying new function and quality of life.

The US program has two provisional patents in place with slightly changed protocol using electro therapy to supposedly aid integration. It will only be a short time before there will be a high demand and this treatment will be sanctioned by the FDA and the VA so hundreds of American servicemen who have lost limbs in combat will benefit from new function. Currently there are three systems in the world for orthopaedic osseointergration, the true pioneers the Swedish and followed by German company Esska, (legs only) also the English have their own system based on a deer antler anatomy to grow skin onto metal. (Intraosseous Transcutaneous Integration)

I believe after my own careful research the Swedish option is the best and has the most successful outcome to date. The original is the best.

All this technology has intellectual property attached. My argument being essentially patriotism and resenting some other country being ahead of the US is the cause of blocking of FDA approvals. This way the US medical system has full control without being dependant on foreign countries. Professor Roy D Bloebaum of the University of Utah, is heading the research in the US. This doctor has spent and received qualifications in Australia but has been pipped at the post by the Australians at the Alfred Hospital in Melbourne in collaboration with the Swedish, the Australians seeing the advantage of the synergistic relationship between the two countries.

My prediction is that after the intellectual property is finalised and some brave American steps forward this will quickly go from a risky experimental surgery to as American as apple pie in a very short time but also with a short memory about the previous criticism of foreign treatments. Suddenly this will be fashionable because Americans have changed the protocols and claim it is their own invention. The FDA has been blocking the diplomatic and ethical Swedish approaches for years which is a travesty, considering the war amputee veterans and their lost function.

In conclusion osseointegration in the US is inevitable soon depending on internal medical politics and attitudes to foreign technologies.

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Comment by Mark Lesek on August 14, 2013 at 2:55pm

I have worn prior to OI a shoulder disartic socket and prosthesis and since I know without a shadow of a doubt which feels the most natural,  obviously OI .  One cannot feel the bolt in the bone or the skin on the bolt but gone is the proximal looseness due to the natural leverage and which destroyed the quality of my life in addition the socket friction pushing on to the skin feeling clammy and chafing and pressure of the friction of the inside of the socket and the straps holding this arm insecurely.  The  extremely well connected OI arm is natural and has no skin pressure and feels integral to the point where you forget you are an amputee.

Comment by Mark Lesek on May 25, 2013 at 8:47am

See me at the ACA conference for a demonstration of new function for short stump above elbow amputees who normally at my level give up wearing a prosthesis and to disprove the US myth and fear that this treatment fails because of infection- after 4 years it only gets better with no infection what so ever and living proof that this treatment works.
I am a 56 y o very short upper dominate arm amputee due to a car wreck 9 years ago, so short that amputees at my level normally give up wearing a prosthesis due to it having little or no function and destroying the quality of my life. I had to find and pay for my own prosthetic solutions- the first Osseointegration in Sweden by Rickard Brånemark- the hardest ever done in the world-but an outstanding success. Then making my own artificial arm. Osseointegration turns this into a pure engineering solution. I cannot believe this treatment is still being beatup in the US with misinformation such as infection risk. I am sharing these videos to educate and inspire other amputees and Clinicians http://www.youtube.com/watch?v=V4DDt30Aat4 and http://www.youtube.com/watch?v=ReH1mRCWfNw Thank You.

Comment by Mark Lesek on August 15, 2012 at 4:23am

I am one of  these people Osseointegration is the answer.I was told the same thing about my prosthetic arm. This was the only thing that got me wearing an arm again. Amputees at my level normally always give up.  http://www.heraldsun.com.au...
/news/victoria/yes-we-can-rebuild-you-bill-langenhorst/story-e6frf7kx-1225904695360?sv=f7f51ce34816405e9f035d27e073c37e
  This chap in Australia got his function back and walking again when he was told he was too short for a prosthetic leg.  Human trials start soon in SLC Utah.  http://osseointeg.ning.com/
See More
www.heraldsun.com.au
HE never thought he would walk again, let alone stand up to have a beer. But revolutionary treatment has this 50-year-old on the move.
Comment by Mark Lesek on July 27, 2012 at 2:02am

This was written 2 1/2 years ago and has proven to be absolutely correct, well done USA.  You have your first titanium medal.  Osseointegration is now as American as apple pie!   Corporate USA has a finger in the American Pie. Congratulations to the team in SLC this is one of the biggest advances in Amputee history.  It will change amputees life and function for the better.  I am living proof of this. 

Comment by Mark Lesek on July 27, 2012 at 1:47am

Finally success. I have been lobbying for this for 5 years .I have been to SLC Utah and have met these people and called them Monday Morning Quarterbacks. IT WORKED. I partly shamed  them into this but also set a example and role model that this treatment works .The USA, welcome to the Titanium Club, you have some catching up to do now to the rest of the World in relation to this treatment . Congratulations from Mark Lesek, the trickiest but most successful Osseointegrated amputee in the World.http://www.techventures.utah.edu/news/2012/07/u-researchers-develop...

http://www.oandp.com/articles/NEWS_2012-07-26_05.asp

Comment by Mark Lesek on July 26, 2012 at 4:34am

Thank you Carol for liking this.I am sure Ossointegration will get you walking again.

Comment by Jon Kuniholm on July 23, 2012 at 4:42pm

Carol - you can contact Integrum through the contact info at the bottom of this page: http://www.integrum.se/ As I'm sure you're aware if you've read through the discussion on this page, OI remains an experimental procedure with promising results, a very high expense (nearly $100,000), and a very high level of complication relative to other elective procedures (10 to 20% vice 0.05%). The complications can include the loss of joints not involved in the amputation, so has the potential to leave you less capable than before the complications. While the amount of activity on OPP by proponents of the procedure could lead you to a different conclusion, there is no endorsement of OI by the Open Prosthetics Project. We are an educational forum and pride ourselves on a spirited discussion of these issues based in fact. Please make sure that you are well informed before you consider any elective surgery.

Comment by Carol Millar on July 23, 2012 at 4:30pm

Please give me contact details for doctors in Sweden.  I am keen to have osseointegration for my right leg. Carol

Comment by Wolf Schweitzer on September 18, 2010 at 8:14pm
http://www.eska-implants.de/cms/upload/info/artikel-handicap-2-2005... ESKA Implants Article: Rather sobering but far more realistic information. Only medium length to long stumps (the ones that also can be set up with sockets) are biomechanically allowed to get osseointegrated; very short bone stumps (where sockets are a real problem) are not (!) suggested to get osseointegration due to risk of fracture. For people with diabetes, Osseointegration is contraindicated. German health insurance examines submissions on case by case basis and seems to be very reluctant - resulting in patients paying themselves. Hygiene and body care and cleaning are a top priority for the patients. Gauze wraps of the metal implant site are to be changed several times a day. Tanning and regular showering of your body are advised - but bathing in obscure pools or lakes, or exhaustive hikes are specifically discouraged. - - As I told you already a few times now, that osseointegration is not adding degrees of freedom but reducing them. If you believe otherwise you simply have not read the right type of instructions. Now you are really happy to join us in our outdoor pool season all next summer but I am afraid that even healthy people get regular, often and cumbersome fungal-bacterial infections there. Now, I can afford that - in the worst case I get an itchy ear canal. You on the other hand will live in permanent fear of infection. - Other than that, osseointegration does not seem to solve problems that sockets cannot solve.
Comment by Jon Kuniholm on June 8, 2010 at 10:35pm
Am I going to have to pull over until the two of you behave?

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