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Allows preservation of greater femoral length
83%
2841/3409
Provides a soft tissue cushion beneath the osseous amputation
5%
174/3409
Improves the position of the femur to allow more efficient ambulation
3%
105/3409
Creates dynamic balance of the amputated femur
100/3409
Improves prosthetic fit
172/3409
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Adductor myodesis enhances clinical function following an above knee amputation. An example is provided in illustration A. Adductor myodesis balances the pull of the hip abductors and flexors that insert proximally This prevents an abducted and flexed deformity that encumbers ambulation. It also creates a soft tissue envelope that pads the distal bony amputation and enhances suction fitting of the prosthesis. Performing the myodesis does not preserve femoral length. A little extra distal femur is actually resected to facilitate the myodesis insertion. In an instructional course lecture, Pinzur et al review the goals and techniques of lower extremity amputations. To achieve a successful amputation, the surgeon must establish reasonable goals with the patient, manage the soft tissue envelope, create an osseous platform for weight-bearing, and facilitate physical rehabilitation.
3.8
(31)
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