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 ,Revised 28 July 2009 ,Accepted 28 July 2009.

References 

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  2. Ramsey S, Newton K, Blough D, McCulloch D, Sandhu N, Reiber G. Incidence, outcomes, and cost of foot ulcers in patients with diabetes. Diabetes Care. 1999;22:382–387
  3. Waters RL, Perry J, Antonelli D, Hislop H. Energy cost of walking of amputees: the influence of level of amputation. J Bone Joint Surg Am. 1976;58:42–46
  4. McKittrick LS, McKittrick JB, Risley TS. Transmetatarsal amputation for infection or gangrene in patients with diabetes mellitus. Ann Surg. 1949;130:826–842
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  6. Chrzan JS, Giurini JM, Hurchik JM. A biomechanical model for the transmetatarsal amputation. J Am Podiatr Med Assoc. 1993;83:82–86Erratum in: J Am Podiatr Med Assoc 1993;83:180
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  9. Geroulakos G, May AR. Transmetatarsal amputation in patients with peripheral vascular disease. Eur J Vasc Surg. 1991;5:655–658
  10. Habershaw GM, Gibbons GW, Rosenblum BI. A historical look at the transmetatarsal amputation and its changing indications. J Am Podiatr Med Assoc. 1993;83:79–81
  11. Hobson MI, Stonebridge PA, Clason AE. Place of transmetatarsal amputations: a 5-year experience and review of the literature. J R Coll Surg Edinb. 1990;35:113–115
  12. Hosch J, Quiroga C, Bosma J, Peters EJ, Armstrong DG, Lavery LA. Outcomes of transmetatarsal amputations in patients with diabetes mellitus. J Foot Ankle Surg. 1997;36:430–434
  13. Miller N, Dardik H, Wolodiger F, Pecoraro J, Kahn M, Ibrahim IM, et al. Transmetatarsal amputation: the role of adjunctive revascularization. J Vasc Surg. 1991;13:705–711
  14. Quigley FG, Faris IB, Xiouruppa H. Transmetatarsal amputation for advanced forefoot tissue loss in elderly patients. Aust N Z J Surg. 1995;65:339–341
  15. Sage R, Pinzur MS, Cronin R, Preuss HF, Osterman H. Complications following midfoot amputation in neuropathic and dysvascular feet. J Am Podiatr Med Assoc. 1989;79:277–280
  16. Mueller MJ, Allen BT, Sinacore DR. Incidence of skin breakdown and higher amputation after transmetatarsal amputation: implications for rehabilitation. Arch Phys Med Rehabil. 1995;76:50–54
  17. Effeney DJ, Lim RC, Schecter WP. Transmetatarsal amputation. Arch Surg. 1977;112:1366–1370
  18. Sanders LJ, Dunlap G. Transmetatarsal amputation. A successful approach to limb salvage. J Am Podiatr Med Assoc. 1992;82:129–135
  19. Thomas SR, Perkins JM, Magee TR, Galland RB. Transmetatarsal amputation: An 8-year experience. Ann R Coll Surg Engl. 2001;83:164–166
  20. Stahel PF, Oberholzer A, Morgan SJ, Heyde CE. Concepts of transtibial amputation: burgess technique versus modified Bruckner procedure. ANZ J Surg. 2006;76(October (10)):942–946Review
  21. Norvell DC, Czerniecki JM, Reiber GE, Maynard C, Pecoraro JA, Weiss NS. The prevalence of knee pain and symptomatic knee osteoarthritis among veteran traumatic amputees and nonamputees. Arch Phys Med Rehabil. 2005;86(3):487–493
  22. Leung HB, Wong WC, Wu FC, Guerin JS. Perioperative and rehabilitation outcome after lower-limb amputation in elderly Chinese patients in Hong Kong. J Orthop Surg (Hong Kong). 2004;12(June (1)):102–109
  23. Marzoug EA, Landham TL, Dance C, Bamji AN. Better practical evaluation for lower limb amputees. Disabil Rehabil. 2003;25(September (18)):1071–1074
  24. Schon LC, Short KW, Soupiou O, Noll K, Rheinstein J. Benefits of early prosthetic management of transtibial amputees: a prospective clinical study of a prefabricated prosthesis. Foot Ankle Int. 2002;23(6):509–514
  25. Peters EJ, Childs MR, Wunderlich RP, Harkless LB, Armstrong DG, Lavery LA. Functional status of persons with diabetes-related lower-extremity amputations. Diabetes Care. 2001;24(10):1799–1804
  26. Green GV, Short K, Easley M. Transtibial amputation. Prosthetic use and functional outcome. Foot Ankle Clin. 2001;6(June (2)):315–327Review
  27. Coletta EM. Care of the elderly patient with lower extremity amputation. J Am Board Fam Pract. 2000;13(Jan–Feb (1)):23–34Review
  28. Pollard J, Hamilton GA, Rush SM, Ford LA. Mortality and morbidity after transmetatarsal amputation: retrospective review of 101 cases. J Foot Ankle Surg. 2006;45(March–April (2)):91–97

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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