Surgical Technique Query and Xerography
Chris L Johnson
Description
Collection
Title:
Surgical Technique Query and Xerography
Creator:
Chris L Johnson
Date:
3/8/1998
Text:
>>I wish I could turn back the clock to have the Ertle technique done,
>>but that is water under the bridge.
>David
>
>I am not familiar with the Ertle technique could you give me some
>information or where I can learn more?
Tony:
Chris here.... Actually, the above was my quote. I don't know everything
about the procedure, but I'll tell you what I do know and hope it is
accurate. The Ertle technique was pioneered in the US by John Ertle
(still practicing somewhere in Illinois? I think he has sons now doing
the procedure....). It is a BK procedure wherein a bone bridge is formed
between the heads of the tibia and fibula by sewing a tunnel of
periosteum and filling the same with bone chips? to help propagate a bone
bride between tibia and fibula. The intent is better end bearing,
stabilization of the fibula, and reduced potential for heterotropic
ossification. It is a sort of orthotropic ossification, if I may.
Also involved is very careful management of soft tissues, such as with
myodesis or myoplasty (I don't know which), and nerve management. It is
a much more careful approach than the usual hack and whack done by many
surgeons.
Healing time is extended due to the delicate nature of the bone bridge
before it firms up, but long term prospects can be better than
conventional BK amputation surgery. As far as I know, only a few surgeon
know and even know of this technique. It does not appeal to those who'd
rather hack and whack fast, `cause that golf game is awaiting....
I don't know the contraindications for the technique.
>Is it true that when having an Xeroradiography the patient is exposed
>to more radiation than a standard x ray? I will find your 1985 artical
>on monday and give it a read
Yes, Xerography does irradiate the patient more than X-ray. I think that
is one reason the technique is falling into disuse. As for how much more
I don't know, but I will copy this to someone who does, and maybe they
can shed some light on that. I have had about 12 Xeros in my lifetime
and my teeth haven't fallen out (yet)! The nice thing about Xerography
for prosthetics is it images the soft tissues nicely. The end result is
a bluish image on white paper. Details of fascia (spelling?) show up on
the film.
Chris (CJ) Johnson
Director of Engineering,
College Park Industries, Inc. <URL Redacted>www.college-park.com
(810) 294-7950 (at CPI), (616) 664-4173 (home office)
<Email Address Redacted>
_____________________________________________________________________
You don't need to buy Internet access to use free Internet e-mail.
Get completely free e-mail from Juno at <URL Redacted>
Or call Juno at (800) 654-JUNO [654-5866]
>>but that is water under the bridge.
>David
>
>I am not familiar with the Ertle technique could you give me some
>information or where I can learn more?
Tony:
Chris here.... Actually, the above was my quote. I don't know everything
about the procedure, but I'll tell you what I do know and hope it is
accurate. The Ertle technique was pioneered in the US by John Ertle
(still practicing somewhere in Illinois? I think he has sons now doing
the procedure....). It is a BK procedure wherein a bone bridge is formed
between the heads of the tibia and fibula by sewing a tunnel of
periosteum and filling the same with bone chips? to help propagate a bone
bride between tibia and fibula. The intent is better end bearing,
stabilization of the fibula, and reduced potential for heterotropic
ossification. It is a sort of orthotropic ossification, if I may.
Also involved is very careful management of soft tissues, such as with
myodesis or myoplasty (I don't know which), and nerve management. It is
a much more careful approach than the usual hack and whack done by many
surgeons.
Healing time is extended due to the delicate nature of the bone bridge
before it firms up, but long term prospects can be better than
conventional BK amputation surgery. As far as I know, only a few surgeon
know and even know of this technique. It does not appeal to those who'd
rather hack and whack fast, `cause that golf game is awaiting....
I don't know the contraindications for the technique.
>Is it true that when having an Xeroradiography the patient is exposed
>to more radiation than a standard x ray? I will find your 1985 artical
>on monday and give it a read
Yes, Xerography does irradiate the patient more than X-ray. I think that
is one reason the technique is falling into disuse. As for how much more
I don't know, but I will copy this to someone who does, and maybe they
can shed some light on that. I have had about 12 Xeros in my lifetime
and my teeth haven't fallen out (yet)! The nice thing about Xerography
for prosthetics is it images the soft tissues nicely. The end result is
a bluish image on white paper. Details of fascia (spelling?) show up on
the film.
Chris (CJ) Johnson
Director of Engineering,
College Park Industries, Inc. <URL Redacted>www.college-park.com
(810) 294-7950 (at CPI), (616) 664-4173 (home office)
<Email Address Redacted>
_____________________________________________________________________
You don't need to buy Internet access to use free Internet e-mail.
Get completely free e-mail from Juno at <URL Redacted>
Or call Juno at (800) 654-JUNO [654-5866]
Citation
Chris L Johnson, “Surgical Technique Query and Xerography,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 5, 2024, https://library.drfop.org/items/show/210502.
