Minimum-incision metatarsal ray resection: an observational case series

Area of Science:

• Podiatric surgery
• Orthopedic surgery
• Vascular surgery

Background:

• Diabetic foot complications frequently lead to infections and gangrene.
• Metatarsal ray resection is a surgical option for severe foot conditions.
• Minimal incision techniques aim to reduce surgical morbidity.

Purpose of the Study:

• To evaluate the outcomes of minimal-incision metatarsal ray resection.
• To assess the safety and efficacy of this technique in patients with diabetes and critical limb ischemia.
• To determine the success rate and identify potential complications.

Main Methods:

• A retrospective review of 17 minimal-incision metatarsal ray resections in 13 patients.
• Procedures were performed for definitive treatment or as part of incision and drainage for infection.
• Patient demographics, comorbidities (diabetes, critical limb ischemia), and surgical outcomes were recorded.

Main Results:

• 14 out of 17 (82%) minimal-incision metatarsal ray resections were successful.
• Two failures occurred due to skin necrosis and unreconstructed critical limb ischemia.
• Successful outcomes were achieved in patients with adequate vascular inflow.

Conclusions:

• Minimal-incision metatarsal ray resection is a safe, simple, and useful technique.
• It is effective as a definitive procedure or in conjunction with incision and drainage for unsalvageable toe conditions.
• Adequate vascular inflow is crucial for successful outcomes.