J Surg Tech Proced | Volume 8, Issue 1 | Review Article | Open Access
Larsson GU and Johannesson AG
1Department of Orthopedics, Hässleholm Hospital, Hässleholm, Sweden 2TeamOlmed Clinics, Stockholm, Sweden
*Correspondance to: Anton Gretar Johannesson
Fulltext PDFObjective: The aim of this article is to describe a standardized surgical technique related to transtibial amputation. Over the last decades, a standardized method of performing sagittal incision in transtibial amputation and using a standardized postoperative plan has been established in Sweden. This is due to the increased use of gel liners in compression therapy and prosthetic fitting, which is discovering the benefits of the position of the scar and the shape of the limb compared with the traditional long posterior flab technique. In a recent report from Sweden, the transtibial sagittal flap incision technique resulted in 20 fewer days (median) until the first prosthetic fitting as compared to the traditional incision. In general, the rate of wound healing has been seen as the main outcome, irrespective of the kind of postoperative treatment strategy used. Studies have seen new options related to postoperative treatment to affect the outcome. This sagittal operation technique has been learned by doing, and despite its popularity in Sweden, descriptive standardized instruction has been missing. This paper's method and process description can support education, guidance, and a good start in rehabilitation after limb amputation.
Transtibial amputation; Surgical technique; Postoperative treatment
Larsson GU, Johannesson AG. The Sagittal Incision in Transtibial Amputation-Including the Postoperative Treatment. J Surg Tech Proced. 2024; 8(1): 1067..