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Type: Artigo de periódico
Title: Cortical Tibial Osteoperiosteal Flap Technique To Achieve Bony Bridge In Transtibial Amputation: Experience In Nine Adult Patients
Author: Mongon M.L.
Piva F.A.
Mistro Neto S.
Carvalho J.A.
Belangero W.D.
Livani B.
Abstract: Amputation, especially of the lower limbs, is a surgical procedure that gives excellent results when conducted under the appropriate conditions. In 1949 Ertl developed a technique for transtibial osteomyoplastic amputation which restored the intraosseous pressure through canal obliteration and expanded the area of terminal support through a bony bridge between the fibula and distal tibia. The aim of this study was to investigate the effectiveness of a modification of the original Ertl's technique in which a cortical osteoperiosteal flap created from the tibia is used to form a bony bridge during transtibial amputation in adults. Nine patients underwent leg amputations with the cortical tibial osteoperiosteal flap technique for reconstruction of the stump. The average duration of follow-up was 30. 8 (range, 18-41) months. The post-surgery examination included a clinical examination and radiography. A 6-min walk test (Enright in Respir Care 48(8):783-785, 2003) was performed in the 32nd week after amputation. At 24th week post-surgery, all patients had stumps that were painless and able to bear full weight through the end. The creation of a cortical osteoperiosteal flap from the tibia to the fibula during transtibial amputation is a safe and effective technique that provides a strong and painless terminal weight-bearing stump. This constitutes a useful option for young patients, athletes, and patients with high physical demands. © 2013 The Author(s).
Rights: fechado
Identifier DOI: 10.1007/s11751-013-0152-0
Date Issue: 2013
Appears in Collections:Unicamp - Artigos e Outros Documentos

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