Edited by Judith Smith MD
In some active young patients who undergo a below knee amputation, it may be beneficial to fuse the two bones of the lower leg (tibia and fibula) together (tibiofibular osteosynthesis or Ertl procedure). This has the potential advantage of creating a more stable amputation stump. However, it is associated with a longer recovery period (to allow the bones to heal) and the possibility that the two bones will not heal, leading to a non-union that may be symptomatic.
Edited February 10, 2018