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Should the amputations of the great toe be replanted?
1info@elmikrocerrahi.com.tr
Foot & Ankle International
|August 31, 2000
Summary
Great toe replantation offers a high survival rate, with successful outcomes in 76.4% of cases. While replantation restores function, toe amputation alters foot load distribution, impacting weight-bearing patterns.
Area of Science:
- Orthopedic Surgery
- Microsurgery
- Podiatry
Background:
- Great toe amputations and replantations are significant orthopedic challenges.
- Understanding functional outcomes and biomechanical changes is crucial for patient management.
Purpose of the Study:
- To evaluate the success rates and long-term functional outcomes of great toe replantations.
- To assess the biomechanical consequences of great toe amputation and its impact on foot function.
Main Methods:
- Retrospective review of 17 great toe replantations (1990-1998).
- Clinical and biomechanical evaluations including range of motion (ROM), sensation, radiography, and pedography.
- Comparison between replanted, amputated, and uninjured contralateral feet.
Main Results:
- Overall great toe replantation survival rate was 76.4% (13/17).
- Successful replantations achieved protective sensation and near-normal MTP joint ROM.
- Amputated great toes showed altered foot weight-bearing distribution without significant gait disturbance.
Conclusions:
- Great toe replantation is a viable option with a good survival rate and functional recovery.
- While gait may not be significantly affected, great toe amputation leads to altered foot load distribution.