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Related Concept Videos

Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation01:21

Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation

Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...

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Related Experiment Video

Updated: Jul 2, 2026

Surface Electromyographic Biofeedback as a Rehabilitation Tool for Patients with Global Brachial Plexus Injury Receiving Bionic Reconstruction
09:14

Surface Electromyographic Biofeedback as a Rehabilitation Tool for Patients with Global Brachial Plexus Injury Receiving Bionic Reconstruction

Published on: September 28, 2019

Internal pedal amputations.

Armin Koller1

  • 1Department of Technical Orthopaedics, Münster University Hospital, Münster, Northrhine-Westfalia, Germany. armin.koller@uni-muenster.de

Clinics in Podiatric Medicine and Surgery
|August 30, 2008
PubMed
Summary
This summary is machine-generated.

Internal pedal amputation, a historical procedure, involves resecting foot bones while preserving toes. This surgery results in a stable, functional residual foot in diabetic patients, suitable for custom footwear.

Related Experiment Videos

Last Updated: Jul 2, 2026

Surface Electromyographic Biofeedback as a Rehabilitation Tool for Patients with Global Brachial Plexus Injury Receiving Bionic Reconstruction
09:14

Surface Electromyographic Biofeedback as a Rehabilitation Tool for Patients with Global Brachial Plexus Injury Receiving Bionic Reconstruction

Published on: September 28, 2019

Area of Science:

  • Podiatric surgery
  • Orthopedic surgery
  • Diabetic foot care

Background:

  • Internal pedal amputation is a historical surgical technique.
  • Previously used for pedal skeleton tuberculosis, it is now rarely performed.
  • Diabetic foot complications often necessitate surgical intervention.

Purpose of the Study:

  • To describe the surgical approach for internal pedal amputations.
  • To outline the postoperative treatment for these procedures.
  • To provide insights for successful outcomes in diabetic patients.

Main Methods:

  • Resection of metatarsals, midtarsal bones, or talus.
  • Preservation of toes and the soft-tissue envelope.
  • Focus on surgical technique and postoperative management.

Main Results:

  • Internal pedal amputation leads to significant foot contracture.
  • Results in a stable, functional, foreshortened residual foot.
  • The residual foot is amenable to protection with custom shoe gear and orthoses.

Conclusions:

  • Internal pedal amputation can create a functional residual limb in diabetic patients.
  • Careful surgical technique and postoperative management are crucial for success.
  • This procedure offers a viable option for specific diabetic foot conditions.