Presentations ppt, key, pdf logging in or signing up. International journal of rehabilitation research 2003. Pdf transtibial amputation using the ertl bony bridge. Amputaciones, aspecto quirurgico responsabilidades del cirujano dentro del equipo. Protocol of action in rehabilitation of patients with lower limbs amputees. Transtibial medical definition merriamwebster medical.
Pdf transtibial amputation using the ertl bony bridge technique. Mar 07, 2011 this article reports a reproducible technique for transtibial osteomyoplastic amputation. When the muscles are to be reattached to bone, a procedure recommended where it is physiologically feasible, 4 to 6 holes not more than 764 in. A pole connecting the prosthetic socket to the foot. Blood vessel disorders such as atherosclerosis, often secondary to diabetes mellitus, account for the greatest percentage of amputations of the lower limb. Amputation, injured extremities, evaluation systems.
Department of signals and systems, chalmers university of technology. Proponents of this technique state that the bone bridging between the tibia and fibula creates a larger and more stable endbearing construct as well as preventing the fibular instability that. Treatment of severe lower extremity trauma, diabetic complications, infections, dysvascular limbs, neoplasia, developmental pathology, or other conditions often involves amputation of the involved extremity. The set includes the retroconstruction drill guide system with drill sleeves for use with the flipcutter reamer, retrodrill reamer, and standard 2. Introduction between 1998 and 2008, 16 adults patients underwent unilateral transtibial amputation and had the distal ends of the tibia and fibula linked using the ertl bony bridge technique. Descargue como pdf, txt o lea en linea desde scribd. Bone surfaces must be smooth so as to eliminate the possibility of high unit pressures. The streamlined pcl toolbox contains all the necessary instruments for performing a variety of modern pcl reconstruction techniques. Energy expenditure of transtibial amputees during ambulation at selfselected pace. However, techniques of lower extremity amputation have largely remained stagnant over decades. Alignment changes can be made at both ends of the pylon pole to finetune your gait. The most common indication for amputation of an upper limb is severe trauma. Background amputation osteomyoplasty, or bone bridging, is a technique developed in 1920 to better correct the residual limb to a normal physiological status 1. Ademas, las mamas fantasmas, partes genitales y otras areas del cuerpo ocurren en.
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