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- F Gottschalk.
- Department Orthopaedic Surgery, UT Southwestern Medical Center Dallas, 1801 Inwood Road, 75390-8883, Dallas, Texas, U S A. frank.gottschalk@utsouthwestern.edu.
- Orthopade. 2016 Mar 1; 45 Suppl 1: S1-4.
AbstractTransfemoral amputations with more proximal amputation levels have the problem of secondary development into flexion and abduction contractures. This is induced by muscle imbalance, especially the loss of adductor muscle insertions when abductor muscle insertions are preserved. This causes considerable problems when fitting prosthetics. Myodesis with insertion of the distally detached adductor magnus muscle to the lateral femoral cortex, introduced here, results in a stronger stump with good muscle balance, and prosthetics fitting is significantly improved.
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