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John Michael's Corner Welcome to the intersection of orthotics and prosthetics in cyberspace!
This Corner continues an ongoing series of articles looking at the evidence available regarding the Ertl amputation, reporting this month on follow-up data gathered by the current Drs. Ertl who are practicing in the USA. The next report from a transcontinental tour across the USA to see how prosthetists are currently managing patients with hip disarticulation or transpelvic amputations follows. This month concludes with part one of a report from the outstanding Nordic Prosthetic-Orthotic Congress in Rejkyavik, Iceland. Next month will include more details from the Nordic Congress as well as highlights of the AOPA Annual Meeting in Reno, Nevada.

All chapters from the Spanish language textbooks on Lower Limb Prosthetics and Orthotics have been posted, and remain available for downloading, along with the classic text from UCLA on Upper Limb Prostheses.

Thanks to the generosity of Sr. Alberto Castillo from Mexico City, the articles in this Corner will now be available in Spanish too. A brief biography is posted, listing just a few of Sr. Castillo's many accomplishments. Additional chapters from the texts on lower limb prosthetics and orthotics that have been translated into Spanish are also available for downloading.

Please feel free to leave your comments and suggestions regarding this information in our guest book . If you would like to be notified by e-mail whenever this corner is updated, please become a registered user of oandp.com .

Table of Contents
CPO Services Digital Reference Library

This month's Corner includes the next installment of uploads of chapters from the entire Spanish language texts on Lower Limb Orthoses and Lower Limb Prostheses, for downloading or printing. CPO Services is very pleased to be able to post electronic versions of texts used in the former WHO school in the Dominican Republic, with the kind permission of Sidney Fishman, PhD.

I hope you have enjoyed some of the information posted in this monthly Corner. Please leave your comments and suggestions for improvements or topics in the Guest Book .

Thank you.

--John Michael, CPO


Reader Comments:

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The Ertl Procedure: Part 2 A Challenge to John Michael
One of the Barr Foundation's goals is to educate the public, the patient, the surgeons and the O&P industry as to the advantages and advances of the Ertl procedure. "It's a social crime that amputees are forced to make do without mdern s... read more

- Anthony T. Barr / President of the Barr Foundation   11/17/2003


Re: The Ertl Procedure: Part 2 A Challenge to John Michael
As promised, Tony, I did meet with the Academy folks to carry forward your proposal. As I thought, the upcoming Academy Annual Meeting is packed solid already so there was really no good time or even meeting room available at this late dat... read more

- John Michael   11/27/2003


Re: Re: The Ertl Procedure: Part 2 A Challenge to John Michael
Thank you John for making the attempt to have the Academy schedule a Amputation Surgery Symposium in 3 months, for the next annual meeting in New Orleans Feb 25-29th and for your successfull effort for the Ertls to provide a quest column in... read more

- Anthony T. Barr / President of the Barr Foundation   11/28/2003

The Ertl Procedure: From a Surgeon's Perspective Part 1
Drs. Jan and William Ertl have posted an excellent response, that comes from three generations of respected surgeons, as to the benefits and advances of this optional amputation surgical procedure that is for the most part being overlooked ... read more

- Anthony T. Barr / President of the Barr Foundation   11/17/2003


Re: The Ertl Procedure: From a Surgeon
Hi Tony- I've been travelling constantly the past few weeks in connection with my consulting business, so today is the first I've had a chance to log on to my Corner. I've just now scanned the Dr. Ertl's comments, and they seem very helpf... read more

- John Michael   11/18/2003

Ertl procedure: Part 6
Pain in an amputee can be mutli-factorial in etiology and potentially can be neurogenic, psychogenic, osteogenic, angiogenic, infectious, and prosthetic in nature. In the series we reported on, several patients with a vascular etiology had ... read more

- William Ertl, MD and Jan Ertl, MD   11/14/2003

Ertl procedure: Part 5
In the November corner, you review the paper that was presented in 1997 at the American Academy of Orthopaedic surgeons meeting in San Francisco. To date, this is the largest review of patients who had undergone an above knee osteomyoplasti... read more

- William Ertl, MD and Jan Ertl, MD   11/14/2003

Ertl procedure: Part 4
Recently, Paul Dougherty, M.D., has published an article reviewing the outcomes of Vietnam War veterans from the Valley Forge Center amputee center in Pennsylvania. His goal was to assess long-term follow-up of patients who required an ampu... read more

- William Ertl, MD and Jan Ertl, MD   11/14/2003

Ertl procedure: Part 3
The socket of choice for an osteomyoplastic amputation is an end-bearing, total surface bearing socket. This allows greater axial loading negating the need for flexion to be built into the socket. A long posterior flap amputee cannot be end... read more

- William Ertl, MD and Jan Ertl, MD   11/14/2003

Ertl procedure: Part 2
The caption under the picture in October’s corner states the primary difference between the Ertl procedure and other techniques is the bone bridge. This is incorrect. The Ertl procedure incorporates soft tissue coverage via a myoplasty. A m... read more

- William Ertl, MD and Jan Ertl, MD   11/14/2003

Ertl procedure: Part 1
Dr. Johann Ertl developed the osteomyoplastic amputation, the Ertl procedure, based on his observations of the regenerative ability of periosteum. The technique combines an osteoplasty and a myoplasty to obtain an optimal residual extremity... read more

- William Ertl, MD and Jan Ertl, MD   11/14/2003

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