transtibiaaliseen

Transtibialization is a surgical procedure involving the partial or total amputation of a lower limb. The transtibial stumps are the ends of the leg bones left after amputation, which serve as a platform for prosthetic limbs. This surgical technique allows for the preservation of a longer residual limb, typically at the mid-calf level, rather than a more proximal (closer to the body) level.

The aims of transtibialization include preserving more limb length, maintaining as much muscle and nerve function as possible, and facilitating optimal prosthetic fitting. However, the extent of muscle preservation and the specialties of the patients vary depending on the specific treatment plan. Transtibialization is commonly performed for amputations due to traumatic injury, infections, or vascular disease.

There are different types of transtibial surgical approaches used in amputation procedures. One common approach is the "leaving skin attachments" method, where skin attachments are left to secure a natural area for the attachment of the prosthetic. However, surgery may result in muscle lengthenings, transfers of muscle origin to tendons or tubes (myoplastics) or reduced tension by superficial fascia releasing to increase girth of residual muscles.

Overall, transtibialization is an essential factor in prosthetic care. Adequate training and surgical skills are required to produce optimal functional outcomes. Transtibial amputees need to adhere to specific rehabilitation programs and comply with prosthetic fitting guidelines. In many cases, prosthetic limbs are designed and constructed to match each patient individually, considering their biomechanics and mobility requirements.