Ertl surgery on the short fibula stump after war injury.

Aim: To propose a new technique of Ertl-type surgery for significantly shortened and valgus deviated fibula stump.

Methods: We present the case of a 26-year-old patient who underwent reamputation surgery to replace a significantly shortened fibula stump using a distraction regenerate formed after tibial stump osteotomy and dosed distraction of the autograft using the Ilizarov apparatus. Its advantage is the elimination of valgus deviation of the fibula remnant, its lengthening, formation of bone synostosis, and increase of the bearing surface, which provides the possibility of total contact prosthetics.

Reconstruction of a Short Tibial Stump with a Long Fibula Using the Ilizarov Technique: A Case Study.

The creation of a functional tibial stump after combat injuries is sometimes too difficult. We describe a case of high amputation after a mine-blast injury. In this case, the tibia stump was too short (5 cm) and the fibula stump was too long (12 cm).

Modification of Ertl Operation for Short Stump.

Background: Despite a sufficient number of papers on the technique of transtibial amputations, the technique of Ertl-type reamputation in short tibial stump remains unreported.

Aim: To propose a modification of the Ertl operation in the proximal tibia.

Case Presentation: The technique of bone bridge creation in a patient with a malformed stump in the upper third of the tibia at the expense of the regenerate formed after corticotomy of the tibial remnant and dosed distraction of the graft by the Ilizarov apparatus is described.

Remodeling of the Fibula Stump After Transtibial Amputation.

Aim: To study the peculiarities of peroneal stump remodelling after transtibial amputation in the process of prosthesis usage.

Material And Methods: A histological study of the ends of the stumps of the fibula in 68 patients was performed. Terms after amputation: 2-8 years.

Vascularization of a bone stump.

Aim To study the character of blood circulation in the bone stump at tight and loose closure of the medullary cavity. Methods Two series of experiments on 39 rabbits with mid-third femoral amputation and muscular plasty were carried out. In the 1st (experimental) series, the bone scapula was closed by thin cortical autograft taken from the epimetaphyseal area, and then the muscles were sutured, and in the 2nd - the scapula was closed by myoplasty only.