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Transmetatarsal and midfoot amputations.

J S Early1

  • 1Department of Orthopedic Surgery, University of Texas Southwestern Medical School at Dallas 75235-8883, USA.

Clinical Orthopaedics and Related Research
|April 23, 1999
PubMed
Summary
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Lower extremity amputation aims to create a functional limb. Preserving hindfoot structures through transmetatarsal, Lisfranc, or Chopart

Area of Science:

  • Orthopedic surgery
  • Podiatric surgery
  • Reconstructive surgery

Background:

  • Lower extremity amputation aims to restore patient mobility and independence.
  • Forefoot loss due to trauma, infection, or gangrene necessitates limb salvage strategies.
  • Preserving hindfoot function is crucial for optimal patient outcomes.

Purpose of the Study:

  • To evaluate the viability of transmetatarsal, Lisfranc, and Chopart's joint level amputations.
  • To assess the potential for preserving hindfoot structures in lower extremity amputations.
  • To review improvements in patient selection and surgical techniques for these amputation levels.

Main Methods:

  • Review of surgical techniques for lower extremity amputation.
  • Analysis of complication rates associated with different amputation levels.

Related Experiment Videos

  • Evaluation of patient selection criteria for limb salvage procedures.
  • Main Results:

    • Transmetatarsal amputation is a common level for forefoot loss.
    • Historically, Lisfranc and Chopart's joint amputations had high complication rates.
    • Improved patient selection and surgical techniques make these levels viable for hindfoot salvage.

    Conclusions:

    • Careful patient selection and refined surgical techniques enhance the success of Lisfranc and Chopart's joint amputations.
    • Preserving hindfoot structures is achievable and beneficial for patient mobility.
    • These amputation levels offer viable options for limb salvage when forefoot tissue is compromised.