Traditional reconstructive posterior flap transtibial amputation as described by Burgess

Pathology: Previous motorcyle accident, four failed attempts at reconstruction. Dysfunctional foot, unable to load mid or forefoot without significant pain.

Extended posterior flap method with bone reconstruction as described by Ertl

Pathology: Crush injury to mid-foot, attempts at reconstruction failed. Unable to walk without crutches, foot is dysfunctional.

An extended posterior flap method transtibial amputation video from a lecture given by Dr. Douglas Smith