Transtibial amputation outcomes study (TAOS): Comparing transtibial amputation with and without a tibiofibular synostosis (Ertl) procedure

Michael J. Bosse; Saam Morshed; Lisa Reider; William Ertl; James Toledano; Reeza Firoozabadi; Rachel B. Seymour; Eben Carroll; Daniel O. Scharfstein; Barbara Steverson; Ellen J. MacKenzie; W. M. Ricci; A. Spraggs-Hughes; C. M. McAndrew; A. N. Miller; S. H. Sims; M. A. Karunakar; J. R. Hsu; C. Churchill; T. Moore; M. L. Schenker; W. M. Reisman; P. A. Bush; H. R. Mir; A. R. Shah; B. C. Taylor; A. H. Schmidt; G. E. Mirick; J. R. Westberg; P. Yoon; H. A. Vallier; M. A. Breslin; J. S. Reid; A. H. Horne; R. A. Hayda; M. J. Crisco; D. J. Stinner; P. M. Osborn; M. Norton; J. M. Wilken; L. K. Cannada; S. A. Dawson; M. J. Gardner; J. L. Gary; W. H. Harvin; D. H. Melton; M. C. Galpin; T. Miclau; T. Belaye; M. Willey; R. V. O'Toole; T. Manson; G. P. Slobogean; A. L. Howe; M. F. Sciadini; J. J. Hutson; P. F. Bergin; C. A. Spitler; J. Hydrick; M. L. Graves; G. V. Russell; Z. V. Roberts; D. C. Teague; I. S. Tarkin; W. T. Obremskey; M. K. Sethi; A. A. Jahangir; V. Gajari; E. J. Burgos; A. Rodriguez-Buitrago; K. R. Archer; W. T. Gordon; X. Ceniceros; S. Waggoner; J. J. Halvorson; J. B. Goodman; M. B. Holden; L. E. Allen; J. M. Ballreich; A. R. Carlini; R. C. Castillo; G. deLissovoy; J. Luly; R. Kirk; C. D. Owens

doi:10.1097/BOT.0000000000000791

Transtibial amputation outcomes study (TAOS): Comparing transtibial amputation with and without a tibiofibular synostosis (Ertl) procedure

Michael J. Bosse, Saam Morshed, Lisa Reider, William Ertl, James Toledano, Reeza Firoozabadi, Rachel B. Seymour, Eben Carroll, Daniel O. Scharfstein, Barbara Steverson, Ellen J. MacKenzie, W. M. Ricci, A. Spraggs-Hughes, C. M. McAndrew, A. N. Miller, S. H. Sims, M. A. Karunakar, J. R. Hsu, C. Churchill, T. MooreM. L. Schenker, W. M. Reisman, P. A. Bush, H. R. Mir, A. R. Shah, B. C. Taylor, A. H. Schmidt, G. E. Mirick, J. R. Westberg, P. Yoon, H. A. Vallier, M. A. Breslin, J. S. Reid, A. H. Horne, R. A. Hayda, M. J. Crisco, D. J. Stinner, P. M. Osborn, M. Norton, J. M. Wilken, L. K. Cannada, S. A. Dawson, M. J. Gardner, J. L. Gary, W. H. Harvin, D. H. Melton, M. C. Galpin, T. Miclau, T. Belaye, M. Willey, R. V. O'Toole, T. Manson, G. P. Slobogean, A. L. Howe, M. F. Sciadini, J. J. Hutson, P. F. Bergin, C. A. Spitler, J. Hydrick, M. L. Graves, G. V. Russell, Z. V. Roberts, D. C. Teague, I. S. Tarkin, W. T. Obremskey, M. K. Sethi, A. A. Jahangir, V. Gajari, E. J. Burgos, A. Rodriguez-Buitrago, K. R. Archer, W. T. Gordon, X. Ceniceros, S. Waggoner, J. J. Halvorson, J. B. Goodman, M. B. Holden, L. E. Allen, J. M. Ballreich, A. R. Carlini, R. C. Castillo, G. deLissovoy, J. Luly, R. Kirk, C. D. Owens

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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.

Original language	English (US)
Pages (from-to)	S63-S69
Journal	Journal of orthopaedic trauma
Volume	31
DOIs	https://doi.org/10.1097/BOT.0000000000000791
State	Published - 2017

All Science Journal Classification (ASJC) codes

Surgery
Orthopedics and Sports Medicine

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10.1097/BOT.0000000000000791

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Bosse, M. J., Morshed, S., Reider, L., Ertl, W., Toledano, J., Firoozabadi, R., Seymour, R. B., Carroll, E., Scharfstein, D. O., Steverson, B., MacKenzie, E. J., Ricci, W. M., Spraggs-Hughes, A., McAndrew, C. M., Miller, A. N., Sims, S. H., Karunakar, M. A., Hsu, J. R., Churchill, C., ... Owens, C. D. (2017). Transtibial amputation outcomes study (TAOS): Comparing transtibial amputation with and without a tibiofibular synostosis (Ertl) procedure. Journal of orthopaedic trauma, 31, S63-S69. https://doi.org/10.1097/BOT.0000000000000791

@article{1361d6179b434f38b360abfccbaa927a,

title = "Transtibial amputation outcomes study (TAOS): Comparing transtibial amputation with and without a tibiofibular synostosis (Ertl) procedure",

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.",

author = "Bosse, {Michael J.} and Saam Morshed and Lisa Reider and William Ertl and James Toledano and Reeza Firoozabadi and Seymour, {Rachel B.} and Eben Carroll and Scharfstein, {Daniel O.} and Barbara Steverson and MacKenzie, {Ellen J.} and Ricci, {W. M.} and A. Spraggs-Hughes and McAndrew, {C. M.} and Miller, {A. N.} and Sims, {S. H.} and Karunakar, {M. A.} and Hsu, {J. R.} and C. Churchill and T. Moore and Schenker, {M. L.} and Reisman, {W. M.} and Bush, {P. A.} and Mir, {H. R.} and Shah, {A. R.} and Taylor, {B. C.} and Schmidt, {A. H.} and Mirick, {G. E.} and Westberg, {J. R.} and P. Yoon and Vallier, {H. A.} and Breslin, {M. A.} and Reid, {J. S.} and Horne, {A. H.} and Hayda, {R. A.} and Crisco, {M. J.} and Stinner, {D. J.} and Osborn, {P. M.} and M. Norton and Wilken, {J. M.} and Cannada, {L. K.} and Dawson, {S. A.} and Gardner, {M. J.} and Gary, {J. L.} and Harvin, {W. H.} and Melton, {D. H.} and Galpin, {M. C.} and T. Miclau and T. Belaye and M. Willey and O'Toole, {R. V.} and T. Manson and Slobogean, {G. P.} and Howe, {A. L.} and Sciadini, {M. F.} and Hutson, {J. J.} and Bergin, {P. F.} and Spitler, {C. A.} and J. Hydrick and Graves, {M. L.} and Russell, {G. V.} and Roberts, {Z. V.} and Teague, {D. C.} and Tarkin, {I. S.} and Obremskey, {W. T.} and Sethi, {M. K.} and Jahangir, {A. A.} and V. Gajari and Burgos, {E. J.} and A. Rodriguez-Buitrago and Archer, {K. R.} and Gordon, {W. T.} and X. Ceniceros and S. Waggoner and Halvorson, {J. J.} and Goodman, {J. B.} and Holden, {M. B.} and Allen, {L. E.} and Ballreich, {J. M.} and Carlini, {A. R.} and Castillo, {R. C.} and G. deLissovoy and J. Luly and R. Kirk and Owens, {C. D.}",

year = "2017",

doi = "10.1097/BOT.0000000000000791",

language = "English (US)",

volume = "31",

pages = "S63--S69",

journal = "Journal of orthopaedic trauma",

issn = "0890-5339",

publisher = "Lippincott Williams and Wilkins Ltd.",

}

Bosse, MJ, Morshed, S, Reider, L, Ertl, W, Toledano, J, Firoozabadi, R, Seymour, RB, Carroll, E, Scharfstein, DO, Steverson, B, MacKenzie, EJ, Ricci, WM, Spraggs-Hughes, A, McAndrew, CM, Miller, AN, Sims, SH, Karunakar, MA, Hsu, JR, Churchill, C, Moore, T, Schenker, ML, Reisman, WM, Bush, PA, Mir, HR, Shah, AR, Taylor, BC, Schmidt, AH, Mirick, GE, Westberg, JR, Yoon, P, Vallier, HA, Breslin, MA, Reid, JS, Horne, AH, Hayda, RA, Crisco, MJ, Stinner, DJ, Osborn, PM, Norton, M, Wilken, JM, Cannada, LK, Dawson, SA, Gardner, MJ, Gary, JL, Harvin, WH, Melton, DH, Galpin, MC, Miclau, T, Belaye, T, Willey, M, O'Toole, RV, Manson, T, Slobogean, GP, Howe, AL, Sciadini, MF, Hutson, JJ, Bergin, PF, Spitler, CA, Hydrick, J, Graves, ML, Russell, GV, Roberts, ZV, Teague, DC, Tarkin, IS, Obremskey, WT, Sethi, MK, Jahangir, AA, Gajari, V, Burgos, EJ, Rodriguez-Buitrago, A, Archer, KR, Gordon, WT, Ceniceros, X, Waggoner, S, Halvorson, JJ, Goodman, JB, Holden, MB, Allen, LE, Ballreich, JM, Carlini, AR, Castillo, RC, deLissovoy, G, Luly, J, Kirk, R & Owens, CD 2017, 'Transtibial amputation outcomes study (TAOS): Comparing transtibial amputation with and without a tibiofibular synostosis (Ertl) procedure', Journal of orthopaedic trauma, vol. 31, pp. S63-S69. https://doi.org/10.1097/BOT.0000000000000791

TY - JOUR

T1 - Transtibial amputation outcomes study (TAOS)

T2 - Comparing transtibial amputation with and without a tibiofibular synostosis (Ertl) procedure

AU - Bosse, Michael J.

AU - Morshed, Saam

AU - Reider, Lisa

AU - Ertl, William

AU - Toledano, James

AU - Firoozabadi, Reeza

AU - Seymour, Rachel B.

AU - Carroll, Eben

AU - Scharfstein, Daniel O.

AU - Steverson, Barbara

AU - MacKenzie, Ellen J.

AU - Ricci, W. M.

AU - Spraggs-Hughes, A.

AU - McAndrew, C. M.

AU - Miller, A. N.

AU - Sims, S. H.

AU - Karunakar, M. A.

AU - Hsu, J. R.

AU - Churchill, C.

AU - Moore, T.

AU - Schenker, M. L.

AU - Reisman, W. M.

AU - Bush, P. A.

AU - Mir, H. R.

AU - Shah, A. R.

AU - Taylor, B. C.

AU - Schmidt, A. H.

AU - Mirick, G. E.

AU - Westberg, J. R.

AU - Yoon, P.

AU - Vallier, H. A.

AU - Breslin, M. A.

AU - Reid, J. S.

AU - Horne, A. H.

AU - Hayda, R. A.

AU - Crisco, M. J.

AU - Stinner, D. J.

AU - Osborn, P. M.

AU - Norton, M.

AU - Wilken, J. M.

AU - Cannada, L. K.

AU - Dawson, S. A.

AU - Gardner, M. J.

AU - Gary, J. L.

AU - Harvin, W. H.

AU - Melton, D. H.

AU - Galpin, M. C.

AU - Miclau, T.

AU - Belaye, T.

AU - Willey, M.

AU - O'Toole, R. V.

AU - Manson, T.

AU - Slobogean, G. P.

AU - Howe, A. L.

AU - Sciadini, M. F.

AU - Hutson, J. J.

AU - Bergin, P. F.

AU - Spitler, C. A.

AU - Hydrick, J.

AU - Graves, M. L.

AU - Russell, G. V.

AU - Roberts, Z. V.

AU - Teague, D. C.

AU - Tarkin, I. S.

AU - Obremskey, W. T.

AU - Sethi, M. K.

AU - Jahangir, A. A.

AU - Gajari, V.

AU - Burgos, E. J.

AU - Rodriguez-Buitrago, A.

AU - Archer, K. R.

AU - Gordon, W. T.

AU - Ceniceros, X.

AU - Waggoner, S.

AU - Halvorson, J. J.

AU - Goodman, J. B.

AU - Holden, M. B.

AU - Allen, L. E.

AU - Ballreich, J. M.

AU - Carlini, A. R.

AU - Castillo, R. C.

AU - deLissovoy, G.

AU - Luly, J.

AU - Kirk, R.

AU - Owens, C. D.

PY - 2017

Y1 - 2017

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=85017322791&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85017322791&partnerID=8YFLogxK

U2 - 10.1097/BOT.0000000000000791

DO - 10.1097/BOT.0000000000000791

M3 - Article

C2 - 28323804

AN - SCOPUS:85017322791

SN - 0890-5339

VL - 31

SP - S63-S69

JO - Journal of orthopaedic trauma

JF - Journal of orthopaedic trauma

ER -

Transtibial amputation outcomes study (TAOS): Comparing transtibial amputation with and without a tibiofibular synostosis (Ertl) procedure

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