Document Detail

Below-knee amputation with a vascularized fibular graft and headless compression screw.
MedLine Citation:
PMID:  23357993     Owner:  NLM     Status:  MEDLINE    
Distal tibiofibular bridging (Ertl modification) in a below-knee amputation can provide an improved transmission of torque from the distal femur to the prosthesis. Without this bridge, the distal tibia and fibula are left freely rotating and translating in the soft-tissue envelope. The distal fibular segment creates a bone bridge that allows for increased distal weight bearing and more versatile prosthetic design. The purpose of this article is to describe the authors' technique for performing the Ertl modification to the below-knee amputation using a segment of vascularized fibula and a headless compression screw.
Benjamin J Brown; Matthew L Iorio; Lauren Hill; Brian Carlisle; Christopher E Attinger
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Plastic and reconstructive surgery     Volume:  131     ISSN:  1529-4242     ISO Abbreviation:  Plast. Reconstr. Surg.     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-01-29     Completed Date:  2013-04-01     Revised Date:  2014-10-13    
Medline Journal Info:
Nlm Unique ID:  1306050     Medline TA:  Plast Reconstr Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  323-7     Citation Subset:  AIM; IM    
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MeSH Terms
Amputation / methods*
Bone Screws*
Equipment Design
Fibula / blood supply*,  transplantation*
Surgical Flaps*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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