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Updated: Sep 9, 2025

An Anatomical Study of Nerves at Risk During Minimally Invasive Hallux Valgus Surgery

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Published on: February 17, 2018

Reoperation and Reamputation Rates After Hallux Amputations versus Partial First-Ray Amputations.

Bryanna D Vesely¹, Jennifer Kipp¹, Madeline R Fram¹

¹*Wake Forest Baptist Medical Center, Winston-Salem, NC.

Journal of the American Podiatric Medical Association

|August 28, 2025

Summary

This summary is machine-generated.

For foot infections, both hallux amputation and partial first-ray amputation show similar reoperation and reamputation rates. Surgeons should base the amputation level on infection extent and soft-tissue coverage, not the specific procedure.

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Last Updated: Sep 9, 2025

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Area of Science:

Podiatric surgery
Infectious disease management
Amputation techniques

Background:

Foot infections are common, requiring surgical decisions on amputation levels.
Surgeons must consider infection extent, tissue viability, and foot biomechanics.
Limited comparative data exists for partial first-ray versus hallux amputation for foot infections.

Purpose of the Study:

To compare reoperation and reamputation rates between partial first-ray amputation and hallux amputation.
To evaluate outcomes for patients undergoing these two specific amputation procedures for infection.

Main Methods:

Retrospective analysis of 295 patients undergoing either hallux or partial first-ray amputation for infection.
Comparison of reoperation, distal amputation, and major amputation rates between the two groups.

Main Results:

Reoperation rates were similar: 41.1% (hallux) and 42.9% (partial first-ray).
Distal amputation rates were 31.9% (hallux) and 27.9% (partial first-ray).
Major amputation rates were 10.6% (hallux) and 16.9% (partial first-ray), with no statistically significant differences between groups.

Conclusions:

Both hallux and partial first-ray amputations are appropriate for first-ray infections.
Amputation level selection should prioritize infection severity and soft-tissue coverage.