Past, present, and future of bone-anchored prosthesis for individuals with lower limb amputation in The Netherlands.

After years of preparatory work, the implementation of bone-anchored prosthesis (BAP) for individuals with lower limb amputation started in 2009 in The Netherlands. Since then, several developments took place in indications, surgical techniques, implants, rehabilitation programs, and aftercare. In this article, we describe our journey and the lessons learned with BAP in the last 16 years. Although numerous positive developments have taken place, there remains both room and necessity for further improvement.