Related Experiment Videos
Traumatic partial foot amputations in adults. A long-term review
S G Millstein1, S A McCowan, G A Hunter
1Ontario Workers' Compensation Board, Toronto, Canada.
The Journal of Bone and Joint Surgery. British Volume
|March 1, 1988
Summary
Long-term functional outcomes for partial foot amputations after trauma show varied results. Higher-level amputations like Lisfranc and Chopart generally yielded better functional results than lower-level ones.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Rehabilitation Medicine
Background:
- Industrial accidents frequently result in traumatic amputations.
- Partial foot amputations are common sequelae of trauma, impacting long-term function.
- Understanding functional outcomes is crucial for patient rehabilitation and surgical planning.
Purpose of the Study:
- To evaluate the long-term functional results of partial foot amputations due to trauma.
- To compare functional outcomes across different levels of partial foot amputation.
- To identify the rate of secondary amputations following initial partial foot amputations.
Main Methods:
- Retrospective study design.
- Analysis of 260 industrial amputee cases.
- Long-term follow-up data collection (1-68 years, mean 16 years).
Main Results:
- Among 118 retained partial foot amputations, 43% had good, 38% fair, and 19% poor functional results.
- Lisfranc and Chopart amputations demonstrated superior functional outcomes compared to transmetatarsal or digital level amputations.
- 19% of initial amputations (49 cases) required revision to Syme's or below-knee amputation.
Conclusions:
- Partial foot amputations following trauma have variable long-term functional outcomes.
- Amputation level significantly influences functional results, with higher levels performing better.
- A notable percentage of partial foot amputations necessitate revision surgery for improved function.