Article

Often encountered in traditional transtibial amputation is a condition that constitutes pain, swelling, sense of instability, bone and soft tissue atrophy, and prosthetic difficulties, resulting in decreased function. One innovative method for maximizing the rehabilitation capability after amputation surgical reconstruction is osteomyoplastic transtibial amputation, commonly called the "Ertl procedure" (Ertl and Ertl, Prosthetics and Patient Management: A Comprehensive Clinical Approach. 2006). A standard for physical therapy management of those with osteomyoplastic transtibial amputation needs to be described for future controlled study. To describe the typical clinical presentation and current physical therapy management practiced in patients with osteomyoplastic transtibial amputation. Standardized physical therapy management of primary and secondary osteomyoplastic transtibial amputation from initial status through discharge is described. During the rehabilitation process after the Ertl procedure, residual limb compression hose is usually not applied. Progressive residual limb end bearing is encouraged. Muscle hypertrophy of all residual limb muscles because of strengthening exercise can occur, thus permanent prosthesis use may be delayed. Patient goals for normal gait and return-to-previous function can be achieved. Patients, who undergo an osteomyoplastic transtibial procedure, the Ertl procedure, may benefit from standardized physical therapy management guidelines to facilitate recovery time and maximize function. Setting a standard for care will allow outcomes to be measured and generalized more broadly, allowing future study of the effectiveness of care for patients with transtibial Ertl procedure

Langue : ANGLAIS