Van lichamelijke beperking naar grenzeloze vrijheid

Osseointegration: From physical limitation to boundless freedom

Welcome to AOFE Clinics
Amputee Osseointegration Foundation Europe Clinics
(AOFE Clinics) is an Independent Treatment Center specialized in amputation medicine.

Reminder: our new adress is Rosendaalselaan 30 in Rozendaal.

What does AOFE Clinics do?

We give our
patients more

and mobility

For patients with a leg amputation who experience problems wearing a socket prosthesis, there is now a new method for anchoring the prosthesis to the body. The surgeon can insert an orthopedic implant through the skin directly into the bone of the stump. The artificial leg can be connected to this implant by means of a click system. This new technique is called osseointegration, and the prosthesis is also called click prosthesis. Doctors use the term osseointegration prosthesis or bone anchoring prosthesis. The opening of the skin through which the implant protrudes is called a stoma.

You can contact our amputee clinic for:


Osseointegration is a new and innovative method for anchoring the prosthesis to the body. Discover the possibilities.

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Stoma revision

The surgeon can insert an orthopedic implant through the skin directly into the bone of the stump.

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Primary amputation

Primary amputations are performed by a highly experienced and dedicated team of specialists at every level.

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Stump revision

Are you bothered by your current tube and are you not eligible for Osseointegration? We present the possibilities of stump revision.

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TMR is a treatment for painful swellings at the end of nerves in an amputation stump.

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Wat is het principe van osseointegratie? - amputee clinic AOFE Clinics in The Netherlands

What is the principle of osseointegration?

The osseointegration prosthesis comes from dentistry. In the 1960s, the Swedish scientist Brånemark discovered that bone adheres very well to the surface of a titanium screw. This connection of metal with bone is called osseointegration and this principle is now used by orthopedists to make hip and knee prostheses on a large scale in the bone. Since the 1990s, this osseointegration technique has been further developed for people with an arm or leg amputation. In contrast to a hip or knee prosthesis, the implant protrudes through the skin so that an artificial arm or leg can be clicked onto it. Since 2009, the osseointegration (click) prosthesis has also been used in the Netherlands and is currently experiencing spectacular growth. Meet the team at our amputee clinic or register online.

Do you recognize
these situations:

read the stories
of our patients

sporten met een amputatie - sport with an amputation

Is an osseointegrated (click) prosthesis safe?

Yes, this is a safe treatment. Since 2009, surgeon Dr. Jan Paul Frölke and rehabilitation physician Dr. Henk van de Meent and their research team from Radboudumc Nijmegen have followed all patients treated with an osseointegration prosthesis in collaboration with other major centers in the world. They not only investigated the advantages of this treatment, but also mapped out the disadvantages and possible complications. Initially it was thought that the implant would lead to infection of the bone and loosening of the implant. Research published in American international scientific journals showed that the risk of loosening is very small in the first 84 patients with an osseointegration prosthesis. In 1 patient the implant became detached and had to be replaced. Follow-up studies confirmed this, but more than two-thirds of people were found to have regular stoma irritation and infections. Especially in people who smoke and in people with a high body weight. However, the stoma complaints were easy to treat and are often transient. Due to recently developed new surgical techniques, stoma problems are still rare and the complaints are less. We now see stoma complaints mainly in the first two years after surgery.

The five

We listen to you and use a
personal approach

Our care meets the
strictest quality requirements

We always work with
experience experts

Together with you, we look for the
best suitable solution

We always have
short waiting times

Dicky de Best ervaringsdeskundige

Do you have any questions or do
you want to sign up?

You can register directly for an intake interview. Do you still have questions? Then look through the frequently asked questions or ask your question to one of our specialists.