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Related Experiment Videos

Diabetic foot amputations. Part III: Midfoot.

P L Gazivoda1, R C Napoli, W M Miller

  • 1Department of Podiatric Surgery, Kennedy Memorial Hospitals, Saddle Brook, New Jersey.

The Journal of Foot Surgery
|May 1, 1990
PubMed
Summary

Diabetic foot infections no longer necessitate major amputations. Midfoot amputations offer better functional and psychological outcomes for patients with diabetic foot disorders.

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Area of Science:

  • Podiatric medicine
  • Diabetic foot care
  • Surgical management of lower extremity disorders

Background:

  • Diabetic foot disorders require critical re-evaluation of management strategies.
  • Traditional approaches to severe diabetic foot infections often led to major lower extremity amputations.

Observation:

  • Major foot infections, including plantar space infections and osteomyelitis, do not always mandate Syme's or below-the-knee amputations.
  • Midfoot amputations are presented as a viable alternative when indicated.

Findings:

  • Case studies demonstrate successful midfoot amputations for diabetic foot disorders.
  • Muscle-balancing procedures are discussed in conjunction with midfoot amputations.

Implications:

  • Midfoot amputations provide superior functional and psychological benefits compared to more proximal amputations.
  • This approach refines surgical strategies for diabetic foot amputations, preserving limb function.

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