Quality, safety
and research

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

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

In 2024, 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.

Selection criteria for patients Medical Parc Medical Center

At Medical Parc MC we use the ASA classification, which was drawn up by the American Society of Anesthesiology. We can operate with ASA-1 and ASA-2 classification 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 well controlled with medications.

Unfortunately, we cannot operate on you within Medical Parc MC if you meet ASA-3 or ASA-4:

• are 85 years or older or younger than 16 years old;
• Has a BMI above 35 (seriously overweight);
• A previous myocardial infarction (MI), heart surgery (e.g. angioplasty/stent), cerebral haemorrhage or
• have had a cerebral infarction (CVA);
• If you have a pacemaker or AICD (built-in defibrillator);
• have active hepatitis (inflammation of the liver);
• has an alcohol and/or drug addiction;
• has renal dysfunction requiring dialysis;
• has an epilepsy that is not properly controlled (seizure disease). Your driver’s license has been revoked as a result;
• a chronic bronchitis in an advanced stage, for example: COPD GOLD III,VI;
• has high blood pressure above 180/100 mmHg;
• Has a mechanical heart valve prosthesis.

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

• has suffered a TIA and is not in need of a new hip, knee or shoulder;
• has a history of heart and lung complaints;
• are taking certain blood thinners (anticoagulant medications);
• has heart rhythm disorders or a biological valve prosthesis.

Quality

Download quality policy AOFE Clinics