Certification, quality
and safety

Cliëntenraad bij AOFE - Rehabilitation consultant & physician of AOFE Clinics

Certification, selection criteria and complaints procedure

AOFE Clinics specializes in amputation medicine. Our focus ares are:

  • osseointegration
  • amputation
  • stump revision
  • stoma revision
  • target muscle reinnervation (TMR)

In 2023, AOFE clinics will join the Dutch Independent Clinics Association (ZKN) and will be accredited by Kiwa.


Selection criteria for patients Medical Parc Medical Center

At Medical Parc MC we use the ASA classification, which has been drawn up by the American Society of Anesthesiology. ASA-1 and ASA-2 classification we can operate within our setting. We refer ASA-3 and ASA-4 to regular hospitals.

  • ASA-1: a physically and mentally healthy patient, non-smoker, no or minimal alcohol consumption.
  • ASA-2: a patient with a mild or moderate systemic abnormality without functional impairment. For example (but not only): smoker, social drinker, hypertension (high blood pressure), mild lung disease that is well controlled with drugs.

Unfortunately, we can not operate on you within Medical Parc MC if you comply with ASA-3 or ASA-4:

  • 85 years or older or younger than 16 years;
  • Has a BMI above 35 (severely overweight);
  • A previous heart attack (MI), heart surgery (e.g. angioplasty/stenting), brain haemorrhage or
  • had a cerebral infarction (CVA);
  • If you have a pacemaker or AICD (built-in defibrillator);
  • has active hepatitis (inflammation of the liver);
  • has an alcohol or drug addiction;
  • has renal impairment with dialysis;
  • has a poorly controlled epilepsy (falling sickness). Your driver’s license has been lost as a result;
  • a chronic bronchitis in advanced stage for example: COPD GOLD III,VI;
  • has high blood pressure above 180/100 mmHg;
  • Has and will have insulin dependent diabetes for a knee prosthesis, hip prosthesis, shoulder prosthesis,
  • click prosthesis;
  • Has a mechanical heart valve prosthesis.

Exceptions can be made in consultation with our anesthetist if you:

  • has had a TIA and is not coming for a new hip, knee or shoulder;
  • has a history of heart and lung complaints;
  • using certain blood thinners (anticoagulant medication);
  • has heart rhythm disorders or a biological valve prosthesis.

Complaints procedure
AOFE clinics wants to do everything they can to make your stay and treatment as pleasant as possible. Nevertheless, it is possible that your treatment or our treatment did not go as expected. AOFE clinics invites you to discuss this. We want an accessible, fast and respectful handling of dissatisfaction and complaints from patients and visitors. Complaints can make a valuable contribution to the quality of our care and services.

The general aim of complaints mediation is to restore the relationship. Mutual understanding is often the key to the solution. AOFE clinics considers it important to achieve the following goals in the event of a complaint:

  • restoring the relationship between patient and professional and solving problems that have arisen
  • Strong involvement of the accused.
  • Use complaints as input for quality improvement

If you have a complaint, you can report your complaint by filling in the form on our website. You can find this form under Contacts. If you would like to receive the complaints procedure, you can request it via mail@aofeclinics.nl.

AOFE clinics has joined the disputes committee Zorg Algemeen.


Safety and Performance of Bone-Anchored Prostheses in Persons with a Transfemoral Amputation: A 5-Year Follow-up Study.

Reetz D, Atallah R, Mohamed J, van de Meent H, Frölke JPM, Leijendekkers R.J Bone Joint Surg Am. 2020 Aug 5;102(15):1329-1335. doi: 10.2106/JBJS.19.01169.PMID: 32769599

Safety, prosthesis wearing time and health-related quality of life of lower extremity bone-anchored prostheses using a press-fit titanium osseointegration implant: A prospective one-year follow-up cohort study.

Atallah R, van de Meent H, Verhamme L, Frölke JP, Leijendekkers RA.PLoS One. 2020 Mar 9;15(3):e0230027. doi: 10.1371/journal.pone.0230027. eCollection 2020.PMID: 32150598 Free PMC article. Clinical Trial.

Management of the sciatic nerve during transfemoral amputation: a survey of Dutch surgeons.

de Bruijn ME, Arts CH, van de Meent H, Frölke JP.J Cardiovasc Surg (Torino). 2020 Aug;61(4):467-470. doi: 10.23736/S0021-9509.19.10733-1. Epub 2019 Mar 27.PMID: 30917649

Functional performance and safety of bone-anchored prostheses in persons with a transfemoral or transtibial amputation: a prospective one-year follow-up cohort study.

Leijendekkers RA, van Hinte G, Frölke JP, van de Meent H, Atsma F, Nijhuis-van der Sanden MW, Hoogeboom TJ.Clin Rehabil. 2019 Mar;33(3):450-464. doi: 10.1177/0269215518815215. Epub 2018 Dec 12.PMID: 30537856 Free PMC article.

Complications of bone-anchored prostheses for individuals with an extremity amputation: A systematic review.

Atallah R, Leijendekkers RA, Hoogeboom TJ, Frölke JP.PLoS One. 2018 Aug 9;13(8):e0201821. doi: 10.1371/journal.pone.0201821. eCollection 2018.PMID: 30092081 Free PMC article.

Osseointegration click-on prosthesis following leg amputation.

Frölke JPM, Leijendekkers RA, van de Meent H.Ned Tijdschr Geneeskd. 2018 May 4;162:D2611.PMID: 30040290 Dutch.

Osseointegrated Transtibial Implants in Patients with Peripheral Vascular Disease: A Multicenter Case Series of 5 Patients with 1-Year Follow-up.

Atallah R, Li JJ, Lu W, Leijendekkers R, Frölke JP, Al Muderis M.J Bone Joint Surg Am. 2017 Sep 20;99(18):1516-1523. doi: 10.2106/JBJS.16.01295.PMID: 28926380

Osseointegrated prosthesis for patients with an amputation : Multidisciplinary team approach in the Netherlands.

Frölke JP, Leijendekkers RA, van de Meent H.Unfallchirurg. 2017 Apr;120(4):293-299. doi: 10.1007/s00113-016-0302-1.PMID: 28097370 Free PMC article. Review.

Long-term outcomes following lower extremity press-fit bone-anchored prosthesis surgery: a 5-year longitudinal study protocol.

Leijendekkers RA, Staal JB, van Hinte G, Frölke JP, van de Meent H, Atsma F, Nijhuis-van der Sanden MW, Hoogeboom TJ.BMC Musculoskelet Disord. 2016 Nov 22;17(1):484. doi: 10.1186/s12891-016-1341-z.PMID: 27876030 Free PMC article.

Comparison of bone-anchored prostheses and socket prostheses for patients with a lower extremity amputation: a systematic review.

Leijendekkers RA, van Hinte G, Frölke JP, van de Meent H, Nijhuis-van der Sanden MW, Staal JB.Disabil Rehabil. 2017 Jun;39(11):1045-1058. doi: 10.1080/09638288.2016.1186752. Epub 2016 Aug 5.PMID: 27494092 Review.

Periprosthetic cortical bone remodeling in patients with an osseointegrated leg prosthesis.

Haket LM, Frölke JPM, Verdonschot N, Tomaszewski PK, van de Meent H.J Orthop Res. 2017 Jun;35(6):1237-1241. doi: 10.1002/jor.23376. Epub 2016 Sep 26.PMID: 27467497

Safety of Osseointegrated Implants for Transfemoral Amputees: A Two-Center Prospective Cohort Study.

Al Muderis M, Khemka A, Lord SJ, Van de Meent H, Frölke JP.J Bone Joint Surg Am. 2016 Jun 1;98(11):900-9. doi: 10.2106/JBJS.15.00808.PMID: 27252434

Walking ability and quality of life in subjects with transfemoral amputation: a comparison of osseointegration with socket prostheses.

Van de Meent H, Hopman MT, Frölke JP.Arch Phys Med Rehabil. 2013 Nov;94(11):2174-8. doi: 10.1016/j.apmr.2013.05.020. Epub 2013 Jun 14.PMID: 23774380

The endo-exo prosthesis for patients with a problematic amputation stump.

Frölke JP, van de Meent H.Ned Tijdschr Geneeskd. 2010;154:A2010.PMID: 20858297 Dutch.

Progressive ossification due to retained surgical sponge after upper leg amputation: a case report.

Kouwenberg IC, Frölke JP.Cases J. 2009 Aug 6;2:8592. doi: 10.1186/1757-1626-0002-0000008592.PMID: 20184688 Free PMC article.

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