Fibular segment bone bridging in trans-tibial amputation.
The purpose of this paper is to present an alternative method of achieving a synostosis between tibia and fibula in trans-tibial amputations by means of a fibular segment in place of tibial osteoperiosteal flaps as described by Ertl, in 1949. From May 1997 through to February 2003, 15 patients were submitted to the proposed procedure. As a result, all patients produced a solid synostosis between tibia and fibula and were rehabilitated with the use of prostheses. The capacity of these patients for distal weight-bearing on the stump was remarkable when compared to patients submitted to the conventional trans-tibial amputation technique.
Pinto
M A G S
MA
Centro Marian Weiss, São Paulo, Brazil.
Harris
W W
WW
D000328:Adult; D000368:Aged; D000671:Amputation, Surgical / Q000379:methods* / Q000534:rehabilitation; D000672:Amputation Stumps; D016025:Bone Transplantation / Q000379:methods; D005260:Female; D005269:Femur / Q000601:surgery; D005360:Fibula / Q000637:transplantation; D006801:Humans; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000601:surgery; D016348:Osseointegration; D013524:Surgical Flaps; D013580:Synostosis / Q000601:surgery; D013977:Tibia / Q000601:surgery*; D016896:Treatment Outcome