Osseointegration was a term coined in 1952 with the discovery that bone can integrate with titanium. The first amputee patient treated with the Integrum OPRA Implant System was in 1990 in Sweden with the first patient treated in Melbourne in 1995.

osseo-img.jpgSince 2012, the Epworth Amputee Rehabilitation Program has been providing assessment for, and rehabilitation following, osseointegration. Patients are usually compensable (funded by TAC or WorkSafe). Osseointegration with the Integrum OPRA Implant System allows an amputee to have a direct connection between their bone and their prosthesis. Osseointegration eliminates the need for a socket, preventing the common problems of skin disorders and stump soreness.

The OPRA osseointegration system consists of an implant, which is the anchoring integrated titanium part inside the bone, and an abutment, which is the skin penetrating connection. The prosthesis is then attached to the abutment by a simple to use connector with built in device protection features.

Osseointegration (OPRA Implant System) can be utilised for transfemoral, transhumeral, digit and thumb amputations.  Epworth Hawthorn specialises in the rehabilitation for long bone osseointegration.

For a transfemoral amputee the Integrum OPRA system enables improved sitting comfort, walking ability, simplified attachment and detachment, and improved quality of life when compared to conventional prostheses.

Osseointegration assessment

A surgeon, rehabilitation physician, prosthetist and other disciplines as needed, are involved in the assessment process for osseointegration.

Osseointegration rehabilitation

Following surgery by osseointegration specialist surgeons in Melbourne, Epworth Hawthorn can offer inpatient and/or outpatient rehabilitation.

Further information

Available at:

For referrals and enquiries:


rehabilitation-digital-referral.pdf Use our digital referral form and submit it online

Call        03 9415 5728

Email     osseointegration@epworth.org.au

Fax         03 9982 6696