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

Research output: Contribution to journalArticle

3 Citations (Scopus)

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 - Jan 1 2017

Fingerprint

Synostosis
Amputation
Outcome Assessment (Health Care)
Fibula
Operative Time
Tibia
Health Care Costs
Multicenter Studies
Extremities
Bone and Bones
Pain
Therapeutics

Keywords

  • Ertl amputation
  • Tibiofibular synostosis
  • Transtibial amputation

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Transtibial amputation outcomes study (TAOS) : Comparing transtibial amputation with and without a tibiofibular synostosis (Ertl) procedure. / Bosse, Michael J.; Morshed, Saam; Reider, Lisa; Ertl, William; Toledano, James; Firoozabadi, Reeza; Seymour, Rachel B.; Carroll, Eben; Scharfstein, Daniel O.; Steverson, Barbara; MacKenzie, Ellen J.; Ricci, W. M.; Spraggs-Hughes, A.; McAndrew, C. M.; Miller, A. N.; Sims, S. H.; Karunakar, M. A.; Hsu, J. R.; Churchill, C.; Moore, T.; Schenker, M. L.; Reisman, W. M.; Bush, P. A.; Mir, H. R.; Shah, A. R.; Taylor, B. C.; Schmidt, A. H.; Mirick, G. E.; Westberg, J. R.; Yoon, P.; Vallier, H. A.; Breslin, M. A.; Reid, J. S.; Horne, A. H.; Hayda, R. A.; Crisco, M. J.; Stinner, D. J.; Osborn, P. M.; Norton, M.; Wilken, J. M.; Cannada, L. K.; Dawson, S. A.; Gardner, M. J.; Gary, J. L.; Harvin, W. H.; Melton, D. H.; Galpin, M. C.; Miclau, T.; Belaye, T.; Willey, M.; O'Toole, R. V.; Manson, T.; Slobogean, G. P.; Howe, A. L.; Sciadini, M. F.; Hutson, J. J.; Bergin, P. F.; Spitler, C. A.; Hydrick, J.; Graves, M. L.; Russell, G. V.; Roberts, Z. V.; Teague, D. C.; Tarkin, I. S.; Obremskey, W. T.; Sethi, M. K.; Jahangir, A. A.; Gajari, V.; Burgos, E. J.; Rodriguez-Buitrago, A.; Archer, K. R.; Gordon, W. T.; Ceniceros, X.; Waggoner, S.; Halvorson, J. J.; Goodman, J. B.; Holden, M. B.; Allen, L. E.; Ballreich, J. M.; Carlini, A. R.; Castillo, R. C.; deLissovoy, G.; Luly, J.; Kirk, R.; Owens, C. D.

In: Journal of orthopaedic trauma, Vol. 31, 01.01.2017, p. S63-S69.

Research output: Contribution to journalArticle

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
Bosse, Michael J. ; Morshed, Saam ; Reider, Lisa ; Ertl, William ; Toledano, James ; Firoozabadi, Reeza ; Seymour, Rachel B. ; Carroll, Eben ; Scharfstein, Daniel O. ; Steverson, Barbara ; MacKenzie, Ellen J. ; Ricci, W. M. ; Spraggs-Hughes, A. ; McAndrew, C. M. ; Miller, A. N. ; Sims, S. H. ; Karunakar, M. A. ; Hsu, J. R. ; Churchill, C. ; Moore, T. ; Schenker, M. L. ; Reisman, W. M. ; Bush, P. A. ; Mir, H. R. ; Shah, A. R. ; Taylor, B. C. ; Schmidt, A. H. ; Mirick, G. E. ; Westberg, J. R. ; Yoon, P. ; Vallier, H. A. ; Breslin, M. A. ; Reid, J. S. ; Horne, A. H. ; Hayda, R. A. ; Crisco, M. J. ; Stinner, D. J. ; Osborn, P. M. ; Norton, M. ; Wilken, J. M. ; Cannada, L. K. ; Dawson, S. A. ; Gardner, M. J. ; Gary, J. L. ; Harvin, W. H. ; Melton, D. H. ; Galpin, M. C. ; Miclau, T. ; Belaye, T. ; Willey, M. ; O'Toole, R. V. ; Manson, T. ; Slobogean, G. P. ; Howe, A. L. ; Sciadini, M. F. ; Hutson, J. J. ; Bergin, P. F. ; Spitler, C. A. ; Hydrick, J. ; Graves, M. L. ; Russell, G. V. ; Roberts, Z. V. ; Teague, D. C. ; Tarkin, I. S. ; Obremskey, W. T. ; Sethi, M. K. ; Jahangir, A. A. ; Gajari, V. ; Burgos, E. J. ; Rodriguez-Buitrago, A. ; Archer, K. R. ; Gordon, W. T. ; Ceniceros, X. ; Waggoner, S. ; Halvorson, J. J. ; Goodman, J. B. ; Holden, M. B. ; Allen, L. E. ; Ballreich, J. M. ; Carlini, A. R. ; Castillo, R. C. ; deLissovoy, G. ; Luly, J. ; Kirk, R. ; Owens, C. D. / Transtibial amputation outcomes study (TAOS) : Comparing transtibial amputation with and without a tibiofibular synostosis (Ertl) procedure. In: Journal of orthopaedic trauma. 2017 ; Vol. 31. pp. S63-S69.
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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 - 2017/1/1

Y1 - 2017/1/1

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KW - Ertl amputation

KW - Tibiofibular synostosis

KW - Transtibial amputation

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