The Foot
Volume 19, Issue 4 , Pages 201-204, December 2009

Trans-metatarsal amputation in patients with a diabetic foot: Reviewing 10 years experience

  • Israel Dudkiewicz

      Affiliations

    • Department of Orthopaedic Surgery, Beilinson Hospital, Rabin Medical Centre, Petah-Tikva 49100, Israel1
    • Corresponding Author InformationCorresponding author. Tel.: +972 54 4772131; fax: +972 3 6314049.
    • ,
  • Oren Schwarz

      Affiliations

    • Department of Orthopaedic Rehabilitation, Sheba Medical Centre, Tel Hashomer 52621, Israel1
    • ,
  • Michael Heim

      Affiliations

    • Department of Orthopaedic Rehabilitation, Sheba Medical Centre, Tel Hashomer 52621, Israel1
    • ,
  • Amir Herman

      Affiliations

    • Department of Orthopaedic Surgery, Sheba Medical Centre, Tel Hashomer 52621, Israel1
    • Department of Statistics, University of Haifa, Mount Carmel, Haifa 31905, Israel
    • ,
  • Itzhak Siev-Ner

      Affiliations

    • Department of Orthopaedic Rehabilitation, Sheba Medical Centre, Tel Hashomer 52621, Israel1

Received 3 April 2009; received in revised form 28 July 2009; accepted 28 July 2009.

Abstract 

Considerable disagreement exists whether trans-metatarsal amputations are indicated in persons with diabetes. A previous study reported that statistically the success rate of Syme's amputation in diabetic patients over 65 years of age resulted in a very poor results. The purpose of this study was to investigate the results of trans-metatarsal amputations, in patients with diabetes and to seek markers which could shed light upon the advantages/disadvantages of this procedure.

The records of 46 patients covering a 10-year period (1996–2006) were used as a database.

Twelve needed higher amputation level and another 10 needed a wound revision. All the patients that maintained the original amputation level walk without a need for a prosthesis and kept their previous abode.

TMA in diabetic patients, although at a high risk for an extrasurgical procedure, once successful, the patient will regain his previous lifestyle.

Keywords: Trans-metatarsal amputation, Diabetic foot

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PII: S0958-2592(09)00073-X

doi:10.1016/j.foot.2009.07.005

The Foot
Volume 19, Issue 4 , Pages 201-204, December 2009

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