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[Hallux amputation].

S Ochman1, M J Raschke2, C Stukenborg-Colsman3

  • 1Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster, Albert Schweitzer Campus 1, Gebäude W1, Waldeyerstr. 1, 48149, Münster, Deutschland. ochman@uni-muenster.de.

Operative Orthopadie Und Traumatologie
|July 6, 2016
PubMed
Summary
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Surgical debridement and amputation aim to restore mobility and prevent further complications like pressure points or amputations. This study reviewed 7 cases of surgical revision for skin necrosis following toe procedures.

Area of Science:

  • Podiatric surgery
  • Diabetic foot complications
  • Vascular surgery

Background:

  • Infected tissue debridement is crucial for preserving function and preventing severe outcomes.
  • Indications for surgical intervention include progressive necrosis, diabetes with angiopathy, and peripheral arterial disease.
  • Careful consideration of resection margins and alternatives to amputation is necessary, especially in patients with renal failure.

Purpose of the Study:

  • To evaluate surgical techniques for debridement and amputation of the big toe.
  • To ensure preservation of standing and walking ability.
  • To prevent secondary complications such as pressure points and further amputations.

Main Methods:

  • Surgical techniques involve dorsal cuneiform resection for skin transplant implantation and oblique bone resection.
Keywords:
AngiopathyDiabetesLimb salvageMinor amputationPeripheral arterial disease

Related Experiment Videos

  • Amputation scars are strategically placed outside pressure zones.
  • Partial amputations of the first ray are performed via exarticulation or segment resection.

    • Main Results:

    • Seven cases were surgically revised in 2014 due to superficial skin necrosis.
    • Skin necrosis was likely caused by tension from wound stitches.
    • The cohort included both trauma and non-trauma cases.

    Conclusions:

    • Surgical debridement and amputation are vital for managing infected toe tissue.
    • Proper surgical technique and postoperative care are essential for optimal outcomes.
    • Preventing wound tension is critical to avoid complications like skin necrosis.