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Órgano Oficial de Difusión Científica de la Federación Mexicana de Colegios de Ortopedia y Traumatología, A.C. (FEMECOT)
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2017, Number 4

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Ortho-tips 2017; 13 (4)

Ertl osteomyoplasty and insufficient residual limb wire fixation of the retrofoot: first case report in the literature

Hyun JH, Arce-Rosas JI, Martínez-Ruiz JJ, Argüelles-Alegría A
Full text How to cite this article

Language: Spanish
References: 6
Page: 189-193
PDF size: 230.97 Kb.


Key words:

Traumatic amputation, transtibial amputation, Ertl osteomyopathy.

ABSTRACT

Ertl’s osteomyopathy for the management of transtibial amputation is used to create a more functional residual limb, compared to the conventional Burgess technique. This is a 46-year-old male with a history of recurrent pressure ulcer, with a history of Boyd’s amputation (four years prior), following open reduction management and failed internal fixation due to traumatic forefoot injury. The objective is to communicate the clinical case with a patient who was treated with Ertl’s transtibial osteomyopathy and wire fixation. We conclude that Ertl osteomyopathy and fixation using wire is described for the first time in the literature, finding that it provides compression and support of the fragment. The technique is novel and functional, as it creates a tibioperoneal crosspiece that provides stability of the joint to sustain support.


REFERENCES

  1. www.rae.es. Real Academia Española, 2017.

  2. Taylor BC, Poka A. Osteomyoplastic transtibial amputation: the Ertl technique. J Am Acad Orthop Surg. 2016; 24 (4): 259-265.

  3. Taylor BC, Pokka A. Osteomyoplastic transtibial amputation: technique and tips. J Orthop Surg Res. 2011; 6: 13.

  4. Tintle SM, Keeling JJ, Forsberg JA, Shawen SB, Andersen RC, Potter BK. Operative complications of combat-related transtibial amputations: a comparison of the modified burgess and modified Ertl tibiofibular synostosis techniques. J Bone Joint Surg Am. 2011; 93 (11): 1016-1021.

  5. Taylor BC, Pokka A. Osteomyoplastic transtibial amputation: the Ertl technique. J Am Acad Orthop Surg. 2016; 24: 259-265.

  6. Brown BJ, Lorio ML, Klement M, Conti Mica MR, El-Amraoui A, Attinger CE. Ertl below-knee amputation using a vascularized fibular strut in a nontrauma elderly population. Ann Plast Surg. 2014; 73 (2): 196-201.




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Ortho-tips. 2017;13