Document Detail

Concepts of transtibial amputation: Burgess technique versus modified Brückner procedure.
MedLine Citation:
PMID:  17007627     Owner:  NLM     Status:  MEDLINE    
The technique of a long posterior myocutaneous flap described by Ernest M. Burgess in the late 1960s is one of the most frequent procedures for below-knee amputations worldwide. To account for some potential problems associated with this procedure in patients with occlusive arterial disease, Lutz Brückner developed a modified amputation technique for transtibial amputation in the 1980s. Although this new standardized procedure has been widely used in Germany, it is not well known outside central Europe, secondary to its lack of description in English published work. In this review article, we describe a comparison of the technical aspects of the Burgess procedure with the modified Brückner technique for transtibial amputations. In addition, the charts of 69 consecutive patients with end-stage occlusive arterial disease undergoing below-knee amputation by either of the two standardized procedures (Burgess, n = 29; Brückner, n = 40) were reviewed. The clinical results of the two procedures are reported and compared. Review of the German published work suggests that the two techniques for transtibial amputation in patients with occlusive arterial disease appear to have similar results. This is further supported by data from our own 10-year experience with 69 patients undergoing below-knee amputation by either of the two standardized procedures. This suggests that the Brückner technique is at least equivalent to the Burgess procedure with regard to the clinical outcome in patients with occlusive arterial disease. The potential advantages of the standardized modified Brückner procedure compared with the 'classical' Burgess technique for transtibial amputation remain to be assessed in prospective multicentre trials.
Philip F Stahel; Andreas Oberholzer; Steven J Morgan; Christoph E Heyde
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Publication Detail:
Type:  Comparative Study; Journal Article; Review    
Journal Detail:
Title:  ANZ journal of surgery     Volume:  76     ISSN:  1445-1433     ISO Abbreviation:  ANZ J Surg     Publication Date:  2006 Oct 
Date Detail:
Created Date:  2006-09-29     Completed Date:  2007-01-19     Revised Date:  2007-05-24    
Medline Journal Info:
Nlm Unique ID:  101086634     Medline TA:  ANZ J Surg     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  942-6     Citation Subset:  IM    
Department of Orthopaedic Surgery, Denver Health Medical Center, University of Colorado School of Medicine, Denver, Colorado, USA.
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MeSH Terms
Amputation / methods*
Arterial Occlusive Diseases / complications
Leg / surgery*
Surgical Flaps
Tibia / surgery
Comment In:
ANZ J Surg. 2007 Apr;77(4):307   [PMID:  17388846 ]

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