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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
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.
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.
