Ertl Osteomyoplastic Bone Bridge

Your surgeon looks out for your best interest and did not take your amputation lightly.  They did everything they could to salvage your limb.  A successful prosthetic outcome begins with a proper amputation.  Sometimes the surgeon has to make difficult choices to create the best possible residual limb that will be tolerant of wearing a prosthesis.  Weight bearing surfaces are distributed throughout the residual limb because the distal end (bottom) of the residual limb can usually not tolerate pressure.  The Ertl bone bridge procedure connects the fibula to the tibia to create a better anatomical, physiological and biomechanically stable residual limb.  The Ertl procedure anatomically substitutes the weight bearing of the foot with weight bearing capabilities in the residual limb.  Physiologically, the Ertl procedure increases blood flow and improves circulation to help minimize daily volume fluctuation known to be problematic to the amputee.  Biomechanically, the Ertl procedure allows better pressure distribution and eliminates movement of the tibia and fibula which can cause impingement of the nerves and intense pain.      

Fitting a patient with an Ertl procedure requires a specialized knowledge of interface design.  The distal weight bearing pressure distribution and balance of suspension technique must be considered.  Prosthetic Design + Research has extensive knowledge of ongoing bone bridge research as well as prosthetic fitting experience.  Come see us for an evaluation of your need for an Ertl procedure or fitting of an Ertl procedure you have undergone.         

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