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Functional considerations in partial foot amputations.

J R Parziale1, K A Hahn

  • 1Department of Orthopaedics, Brown University Program in Medicine, Providence.

Orthopaedic Review
|March 1, 1988
PubMed
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Advances in surgery and prosthetics enhance outcomes for partial foot amputations. Preserving ankle motion is key for function, improving quality of life for amputees.

Area of Science:

  • Orthopedic Surgery
  • Prosthetics and Orthotics
  • Rehabilitation Medicine

Background:

  • Partial foot amputations, specifically between transmetatarsal and Syme's levels, have seen improved prognoses.
  • Retention of active ankle motion is a significant factor in functional recovery after these amputations.

Purpose of the Study:

  • To evaluate the impact of preserving active ankle motion in partial foot amputations.
  • To highlight the importance of preoperative consideration of vocational and avocational needs for ankle function.

Main Methods:

  • Review of recent developments in surgical techniques for partial foot amputations.
  • Analysis of prosthetic management strategies for distal lower extremity amputees.
  • Illustration of the concept through three case reports.

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Main Results:

  • Surgical and prosthetic advancements have positively impacted outcomes for transmetatarsal to Syme's level amputations.
  • Partial foot amputations can allow for the retention of active ankle motion.
  • Consideration of patient-specific functional demands is crucial for optimizing results.

Conclusions:

  • Appropriate surgical techniques and prosthetic devices can significantly improve the quality of life for individuals with distal lower extremity amputations.
  • Preoperative assessment of functional requirements, particularly for active ankle motion, is vital for successful outcomes.