Details

Autor(en) / Beteiligte

• Bosse, Michael J
• Morshed, Saam
• Reider, Lisa
• Ertl, William
• Toledano, James
• Firoozabadi, Reeza
• Seymour, Rachel B
• Carroll, Eben
• Scharfstein, Daniel O
• Steverson, Barbara
• MacKenzie, Ellen J

Titel

Transtibial Amputation Outcomes Study (TAOS): Comparing Transtibial Amputation With and Without a Tibiofibular Synostosis (Ertl) Procedure

Ist Teil von

• Journal of orthopaedic trauma, 2017-04, Vol.31 Suppl 1 (1), p.S63-S69

Ort / Verlag

United States: Copyright Wolters Kluwer Health, Inc. All rights reserved

Erscheinungsjahr

2017

Quelle

MEDLINE

Beschreibungen/Notizen

• The optimal technique for a transtibial amputation in a young, active, and healthy patient is controversial. Proponents of the Ertl procedure (in which the cut ends of the tibia and fibula are joined with a bone bridge synostosis) argue that the residual limb is more stable which confers better prosthetic fit and improved function especially among high-performing individuals. At the same time, the Ertl procedure is associated with longer operative and healing time and may be associated with a higher complication rate compared with the standard Burgess procedure. The TAOS is a prospective, multicenter randomized trial comparing 18-month outcomes after transtibial amputation using the Ertl versus Burgess approach among adults aged 18 to 60. The primary outcomes include surgical treatment for a complication and patient-reported function. Secondary outcomes include physical impairment, pain, and treatment cost.