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Foot amputations

B B Chang1, R L Jacobs, R C Darling

  • 1Department of Surgery, Albany Medical College, New York, USA.

The Surgical Clinics of North America
|August 1, 1995
PubMed
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This study advocates for less common amputations in ischemic limbs to improve limb salvage rates. Delaying amputations until vascular supply normalizes maximizes tissue and minimizes hospital stays.

Area of Science:

  • Vascular Surgery
  • Limb Salvage Surgery

Background:

  • Ischemic limbs with forefoot necrosis often lead to amputation.
  • Standard amputation algorithms include toe, ray, transmetatarsal, below-knee, and above-knee procedures.
  • Current algorithms result in 10-20% primary above- or below-knee amputation rates.

Purpose of the Study:

  • To highlight the utility of less common amputations in limb salvage.
  • To advocate for delaying amputations until vascular supply is normalized.
  • To emphasize the importance of careful execution of these amputations for effective limb salvage.

Main Methods:

  • Review of surgical algorithms for ischemic limb amputation.
  • Analysis of outcomes associated with standard versus less common amputation techniques.

Related Experiment Videos

  • Evaluation of the impact of delayed amputation on tissue salvage and hospitalization.

    • Main Results:

    • Less common amputations increase eligibility for revascularization and limb salvage.
    • Delaying amputation maximizes tissue salvage.
    • Minimizing prolonged hospitalizations through staged amputations.

    Conclusions:

    • Less common amputations are crucial for maximizing limb salvage in ischemic limbs.
    • Strategic timing and execution of amputations are as vital as distal bypass procedures.