Alternative bone graft sources and techniques for tibiofibular synostosis creation following transtibial amputation

Case: Alternative methods of the modified Ertl osteomyoplasty with use of two different tibial grafts for synostosis are presented in two patients who underwent revision transtibial amputation. Conclusion: These two techniques spare residual limb length relative to other described local techniques, avoid the morbidity of remote autograft harvest, and may be attempted in patients with inadequate residual limb lengths or in those who have tibiofibular length mismatch to achieve stable bridge synostosis.