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

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

doi:10.1097/bot.0000000000000791

Cited by 28 publications

(19 citation statements)

References 25 publications

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“…However, there is no current randomized control trial data comparing it with the more traditional Burgess amputation to date 23 . Of note, a trial comparing these procedures is currently ongoing 24 .…”

Section: Discussionmentioning

confidence: 99%

Total Talar and Navicular Extrusions

Lalchandani

Hung

Janghala

et al. 2022

JBJS Case Connector

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Case: A 15-year-old adolescent boy sustained both talar and navicular extrusions after a dirt-bike accident. The talus and navicular were discarded during initial debridement because of contamination. Given extensive soft-tissue injury and bone loss, the patient's family opted for transtibial amputation, as described by Ertl, over limb salvage. Simultaneous osteomyoplastic reconstruction and acute targeted muscle reinnervation were performed. Conclusion:Transtibial amputation is a viable treatment option for total talar and navicular extrusions, particularly if an optimal functional outcome is unachievable with limb salvage. Simultaneous osteomyoplastic reconstruction and acute targeted muscle reinnervation can potentially decrease neuroma formation and phantom limb pain.Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/B875).

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Section: Discussionmentioning

confidence: 99%

Total Talar and Navicular Extrusions

Lalchandani

Hung

Janghala

et al. 2022

JBJS Case Connector

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“…A prospective randomized trial, the Transtibial Amputation Outcomes Study (TAOS), comparing the Ertl to the standard Burgess technique for individuals 18 and older following trauma has completed data collection with results expected to be published in 2021. 17,18 This study should provide guidance and indications for the Ertl versus Burgess procedures in adult patients.…”

Section: End Bearing Residuummentioning

confidence: 99%

Innovations in Pediatric Prosthetics

Hall

Wustrack

Cummings

et al. 2021

Journal of the Pediatric Orthopaedic Society of North America

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Although many of the surgical and technological advances for prosthetics have emerged from caring for adults, the pediatric patient with limb differences continues to provide unique challenges and demands appropriate, pediatric-specific innovation. Not only do children test the current technology with their size, weight, and potential growth, but also with their chosen activities, energy-level and drive to explore varied environments. This article explores the recent advances within the broader realm of prosthetics, primarily based on research in adult patients. It identifies technologies that have already been translated to pediatric populations and points out areas for potential pediatric applications. This review also highlights numerous needs and gaps in the currently available resources and tools for these patients, including surgical techniques, prosthetic componentry, and rehabilitation strategies. Further innovation and research are needed for pediatric patients to maximize their functional potential while using a prosthesis.

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“…Unfortunately, in these works such important issues as bone stump healing, factors affecting the process of reparative regeneration and stump muscles state were not reflected. We took into account the fact that unsatisfactory outcomes of bone stump healing were observed by 97,1 % of the examined patients [2], and the formation of the functional bone stump occurred only in 10 % of cases [6] during 1-1,5 months after the amputation. Taking into account such disappointing results, it seemed reasonable to study the state of the stump muscles after various methods of its plasty in the experiment.…”

Section: Introductionmentioning

confidence: 99%

Functional and morphological state of the amputation stump muscles after various methods of the stump plasty

Шевчук

Bezsmertnyi

et al. 2017

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An assessment of the nature of histochemical and morphological processes in limb stump muscles after various methods of the amputation plasty was given. There were five series of experiments carried out on 55 dogs with the amputation of the hind limb in the middle third of the thigh. There was fascioplasty, myoplasty with suture of the antagonist muscles performed, as well as myodesis with the muscle tension of 916–962 μN, 980–1100 μN, and 650–800 μN. The observation periods consisted of 3 days, 4 weeks, 8 months. The histochemical reactions for determining of succinate dehydrogenase (SDG), NAD·N-dehydrogenase (NAD·H-DH), beta-hydroxybutyrate dehydrogenase (β-HBDG) and lactate dehydrogenase (LDG) were performed on the fresh muscle pieces. The histological examination of the muscles was also carried out. By the end of the observation period, only single unchanged muscular fibers were detected by fascio- and myoplasty. Most of them were replaced by the coarse fibrous connective tissue with fat cells. There was a significant increase in LDG activity (glycolysis) and growth of SDG (Krebs cycle). The activity of NAD·H-DH was high, and the level of β-HBDG significantly reduced. By myodesis with the muscle tension of 916–962 μN the degenerative-dystrophic processes were less significant. There was the decrease in the intensity of the terminal oxidation and oxidation of the ketone bodies observed. The activity of the Krebs cycle increased, and glycolysis grew up. By muscles tension of 980–1100 μN and 650–800 μN there were changes similar to those by fascio- and myoplasty observed.

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

Cited by 28 publications

References 25 publications

Total Talar and Navicular Extrusions

Total Talar and Navicular Extrusions

Innovations in Pediatric Prosthetics

Functional and morphological state of the amputation stump muscles after various methods of the stump plasty

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