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

Research output: Contribution to journalArticlepeer-review

25 Scopus citations

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 languageEnglish (US)
Pages (from-to)S63-S69
JournalJournal of orthopaedic trauma
Volume31
DOIs
StatePublished - 2017

All Science Journal Classification (ASJC) codes

  • Surgery
  • Orthopedics and Sports Medicine

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