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Osseointegrated implants are an exciting new option for people with lower limb amputations who have failed traditional prosthesis use. This technology involves collaboration between orthopedic and plastic surgery teams in order to attach a prosthetic device to an anchor implanted in a patientís residual limb. Grant G. Black @grant_black_ and coauthors from NewYork-Presbyterianís Department of Plastic and Reconstructive Surgery @columbiacornellplasticsurgery and the Hospital for Special Surgeryís Limb Lengthening and Complex Reconstruction Service evaluated the cost-effectiveness of osseointegrated implants using the first cohort of patients to undergo the procedure in the United States. The authors found that the surgery has an incremental cost effectiveness ratio (ICER) of ,660, and is favored over traditional prostheses in 71% of cases at a willingness-to-pay of ,000 per life-year. These results support the expanded use of osseointegrated implants for lower limb amputees, especially those with a history of health issues and high costs associated with prosthesis use. Osseointegrated Prostheses Following Lower Limb Amputation Prove Cost Effective in the US Healthcare System Grant Black, BA(1), @grant_black_; Xian Wu, MPH(1); S. Robert Rozbruch, MD(2), @limblengthening; David Otterburn, MD(3) 1Weill Cornell Medical College; 2Orthopedic Surgery, Hospital for Special Surgery; 3Plastic and Reconstructive Surgery, NewYork-Presbyterian Hospital

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