Todd Fellars, MD, San Diego Naval Hospital
Todd Fellars, MD, San Diego Naval Hospital
Todd Fellars, MD, San Diego Naval Hospital
- No tags were found...
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
Gait Parameter DifferencesBetween Standard and ErtlTranstibial Amputees<strong>Todd</strong> <strong>Fellars</strong>, LT, MC, USNAnthony Riccio, LCDR, MC, USNMichael Mazurek, CDR, MC, USNJoseph Carney, LCDR, MC, USNMarilynn Wyatt, PT
The appearance in any part of this presentation ofinformation, images, or views related to <strong>Naval</strong> MedicalCenter <strong>San</strong> <strong>Diego</strong>, the Department of the Navy, or theDepartment of Defense does not constitute endorsement bythe United States Government of the information, images, orviews contained herein. The <strong>Naval</strong> Medical Center <strong>San</strong><strong>Diego</strong>, the Department of the Navy, and the Department ofDefense do not exercise any editorial control over thispresentation. The views presented are those of the speakeror author alone and do not necessarily represent the views of<strong>Naval</strong> Medical Center <strong>San</strong> <strong>Diego</strong>, the Department of theNavy, or the Department of Defense."
• Ertl Technique• Disadvantages• Increased OR time• Increased tourniquet time– Gwinn, DE., Keeling, J., et al. FAI, 2008• Time to union– Delayed rehabilitation
• Scant objective data regarding Ertl procedure
• Published literature has focused on techniqueand patient perceived outcomes• Inconclusive• Pinzur, et al. FAI, 2006• Pinzur, et al. JBJS, 2008
PurposeDetermine gait parameter differencesbetween military Ertl and Burgesstranstibial amputees
• Inclusion Criteria:• Unilateral transtibial amputation• Available gait study >6 months from initial study• Independent ambulation• Exclusion Criteria:• Requirement of assistive device• Ambulating independently < 6 months• Contralateral LE arthrodesis
NMCSD Gait Analysis Laboratory
• Gait Parameters• gait velocity• cadence• stride length• step width• step length• step symmetry• single limb support• single limb stancesymmetry• Gait Kinematics• Ground reaction forces• Early stance• Mid Stance• Late Stance
Results
Results
Results
Conclusions• Unique Study• No significant ambulation differences found• Continued study required
Limitations• Underpowered• No difference in prosthetic fitting betweenamputee groups
Thank You
Change language