Rehabilitation programs after the implantation of transfemoral osseointegrated fixations for bone-anchored prostheses: a systematic review protocol

Review question: The primary objective of this scoping review is to characterize rehabilitation programs for individuals with transfemoral amputation following the implantation of screw-type or press-fit osseointegrated fixations for bone-anchored prostheses. The secondary objective of this review is to describe partial weight bearing exercises including static and dynamic exercises as well as use of walking aids in each rehabilitation program for screw-type and press-fit fixations. The third objective of this review is to compare key rehabilitation parameters for various partial weight bearingexercises (e.g. type of training prosthesis, loading time and progression, monitoring of loading, loading direction, instructions given to patients and the use of loading regulators) within each program for screw-type and press-fit fixations (intra-variability) and between programs for screw-type and press-fit fixations (inter-variability). The specific review questions are What are the intra-variabilities within rehabilitation programs corresponding to the differences in rehabilitation parameters within programs for each screw-type (Q1) and press-fit (Q2) fixations? What are the inter-variabilities between rehabilitation programs corresponding to the differences in rehabilitation parameters between programs for screw-type and press-fit fixations (Q3)