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Reulceration and Reoperation Rates After Central Ray Amputations: A Retrospective Study
Lindsay K LeSavage1, Hayden L Hoffler2, Joni K Evans3
1Resident, Podiatric Medicine and Surgery Residency Program, Department of Orthopaedic Surgery, Wake Forest Baptist Medical Center, Winston-Salem, NC.
Summary
Foot ray amputations can lead to re-ulceration. This study found no significant difference in re-ulceration rates based on the specific central ray amputation location, suggesting location is not a key factor in recurrence.
Area of Science:
- Podiatric surgery
- Orthopedic surgery
- Wound healing research
Background:
- Re-ulceration is a frequent complication after foot ray amputations.
- Central ray amputations are performed to manage devitalized tissue and infection spread.
Purpose of the Study:
- To determine the incidence of re-ulceration after isolated and combined central ray amputations.
- To investigate if the location of the central ray amputation influences re-ulceration rates.
Main Methods:
- Retrospective review of 55 consecutive limbs undergoing central ray amputations.
- Evaluation of postoperative ulceration on the ipsilateral foot.
- Analysis of re-ulceration, further amputation, and mortality based on amputation location.
Main Results:
- 43% of patients experienced re-ulceration, with a 1-year recurrence rate of 41.8%.
- No statistical difference in re-ulceration, further amputation, or mortality was found based on the specific central ray (second, third, or fourth) amputated.
- Re-ulceration appeared to occur more rapidly after third ray amputations.
Conclusions:
- The location of central ray amputation does not appear to significantly impact the risk of re-ulceration, further amputation, or mortality.
- Central ray amputations serve as a viable initial salvage procedure for foot conditions.
