Journal article
Transtibial Amputation Outcomes Study (TAOS): Comparing Transtibial Amputation With and Without a Tibiofibular Synostosis (Ertl) Procedure
Journal of orthopaedic trauma, Vol.31 Suppl 1(1), pp.S63-S69
04/2017
DOI: 10.1097/BOT.0000000000000791
PMID: 28323804
Abstract
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.
Details
- Title: Subtitle
- Transtibial Amputation Outcomes Study (TAOS): Comparing Transtibial Amputation With and Without a Tibiofibular Synostosis (Ertl) Procedure
- Creators
- Michael Bosse - Orthopaedic Trauma Service, Department of Orthopaedic Surgery, Carolinas Medical Center, Charlotte, NC; †Orthopaedic Trauma Institute, Zuckerberg San Francisco General Hospital, University of San Francisco; ‡Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health; §Department of Orthopaedic Surgery and Rehabilitation, University of Oklahoma; ‖Department of Orthopaedic Surgery, Naval Medical Center San Diego; ¶Harborview Medical Center, University of Washington; Department of Orthopaedic Surgery, Wake Forest Baptist Health; ††Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health; and ‡‡Orthopaedic Trauma Service, Tampa General Hospital, Florida Orthopaedic InstituteSaam MorshedLisa ReiderWilliam ErtlJames ToledanoReeza FiroozabadiRachel SeymourEben CarrollDaniel ScharfsteinBarbara SteversonEllen MacKenzieMETRC
- Contributors
- Jason M Wilken (Contributor) - University of Iowa, Physical Therapy and Rehabilitation ScienceMichael C Willey (Contributor) - University of Iowa, Orthopedics and Rehabilitation
- Resource Type
- Journal article
- Publication Details
- Journal of orthopaedic trauma, Vol.31 Suppl 1(1), pp.S63-S69
- DOI
- 10.1097/BOT.0000000000000791
- PMID
- 28323804
- NLM abbreviation
- J Orthop Trauma
- ISSN
- 0890-5339
- eISSN
- 1531-2291
- Language
- English
- Date published
- 04/2017
- Academic Unit
- Orthopedics and Rehabilitation; Physical Therapy and Rehabilitation Science; Injury Prevention Research Center
- Record Identifier
- 9984047600402771
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