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Related Concept Videos

Bones of the Lower Limb: Tibia and Fibula01:10

Bones of the Lower Limb: Tibia and Fibula

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The tibia is the main weight-bearing bone of the lower leg. It is larger than the fibula with which it is paired. The tibia is also the second longest bone in the body and is located right below the skin. The proximal end of the tibia forms the medial and the lateral condyle, which articulates with the condyles of the femur to form the knee joint. Between the articulating surfaces is the irregular elevated area known as the intercondylar eminence that serves as the inferior attachment point for...
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The femur is the body's longest and strongest bone spanning the thigh region. Its head articulates with the acetabulum of the hip bone to form the hip joint. A minor indentation on the medial side of the femoral head, called the fovea capitis, serves as the site of attachment for the ligament of the head of the femur. This weak ligament spans the femur and acetabulum and supports the hip joint. The narrowed region below the head is the neck of the femur. The inclination angle between the...
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Updated: Apr 27, 2026

Oscillation and Reaction Board Techniques for Estimating Inertial Properties of a Below-knee Prosthesis
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Footplate reconstruction: preliminary results.

Michalina Rusiecka1, Manuel Bernal-Sprekelsen

  • 1ENT Department, Hospital Clínic, University of Barcelona Medical School, Barcelona, Spain.

Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [And] European Academy of Otology and Neurotology
|July 1, 2014
PubMed
Summary

This study presents a new surgical technique for absent footplates in middle ear surgery, successfully reconstructing hearing and resolving symptoms in a small patient group. The method shows promise for challenging ear conditions.

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Area of Science:

  • Otolaryngology
  • Middle Ear Surgery
  • Audiology

Background:

  • Footplate absence or perforation is a complex surgical challenge in middle ear procedures.
  • This condition is particularly difficult in patients with chronic ear issues or prior tympanoplasties.

Purpose of the Study:

  • To evaluate a novel surgical technique for reconstructing the absent footplate during revision tympanoplasty.
  • To assess hearing outcomes and inner ear function after footplate reconstruction.

Main Methods:

  • Retrospective analysis of revision tympanoplasty cases with footplate reconstruction using autologous cartilage.
  • Ossicular chain reconstruction with a titanium prosthesis in a single stage.
  • Minimum 24-month follow-up with audiometric evaluation of air and bone conduction.

Main Results:

  • Six patients were included, demonstrating an average air conduction gain of 11 dB.
  • Bone conduction showed no significant deterioration, with some cases improving by an average of +3 dB.
  • Symptoms associated with perilymphatic fistula were resolved, indicating a safe and reliable technique.

Conclusions:

  • Reconstruction of the footplate with autologous cartilage and type III tympanoplasty offers a promising solution for absent footplates.
  • This technique addresses rare but challenging cases of partial or complete footplate absence.
  • The described method proved safe and effective in improving hearing and resolving related symptoms.