How I do it: Modified operation technique for MR Conditional OSIA 3: anterior based flap for covering the implant.

Background: The new OSIA3 is 1.5 T and 3 T MR-Conditional. Skin related issues are the most common complications. Performing MRI, the implant is exposed to magnetic torque forces, thus creating more tension over the incision lines.

Methods: We present a modified surgical technique for implanting OSI300 step-by-step. We prefer an anterior based muscle-periosteal flap to cover the implant as an integral part of the procedure.

Conclusion: The anterior based muscle-periosteal flap and performing a 3-layer-suture appears to be a safe method that does not permit skin-tension directly over the implant and may help preventing implant extrusion especially with the new OSI300.