The Positive Impact of the Procedure

This operation will benefit the amputee in the following ways

  • Prevention of excess fibular motion by bony bridge (synostosis) stabilization in below-knee amputations.
  • Reconstruction of the medullary canal and reestablishing intramedullary pressure and prevention of arterio-venous connections at the bone ends.
  • Prevention of crown sequestrations in above-knee amputations by medullary canal closure.
  • Improvement of the venous return to the heart by myoplasty, i.e., reconstruction of the pumping action of the muscles (peripheral heart).
  • Prevention of nerve adhesions and restoring the gliding properties of the nerve.
  • Improvement of the prosthesis fitting by the removal and prevention of unstable scars using reconstructive plasty.
  • Prevention of osteoporosis by providing end-bearing potential and reinstituting physiological bone loading.

Initially, the old scar is removed, and tissue planes are separated to identify the layers of muscle, blood vessels, and finally, bone.Next, a bone-bridge is created between the two lower extremity bones, the tibia and the fibula. By forming synostosis, this provides a bony framework, recreating a heel type structure with weight-bearing capabilities.
[Figure 1, Figure 2]