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Foot function in diabetic patients after partial amputation

J C Garbalosa1, P R Cavanagh, G Wu

  • 1Department of Exercise Science, Pennsylvania State University, University Park 16803, USA.

Foot & Ankle International
|January 1, 1996
PubMed
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Diabetic patients with transmetatarsal amputation (TMA) show higher foot pressures and altered movement. Proper footwear is crucial after TMA surgery to prevent diabetic foot ulcers.

Area of Science:

  • Biomechanics
  • Diabetic Foot Research

Background:

  • Diabetes mellitus can lead to foot complications, including amputations.
  • Transmetatarsal amputation (TMA) alters foot function and biomechanics.

Purpose of the Study:

  • To investigate the functional changes in partially amputated feet in diabetic patients.
  • To analyze plantar pressure distribution and kinematics after transmetatarsal amputation.

Main Methods:

  • Collected plantar pressure data using a Novel EMED platform.
  • Recorded 3D kinematic data with three video cameras.
  • Compared amputated (TMA) feet with intact feet in 10 diabetic patients.

Main Results:

  • Feet with TMA exhibited significantly higher peak plantar pressures than intact feet.

Related Experiment Videos

  • Heels of amputated feet had lower peak pressures than forefoot regions.
  • Intact feet showed greater dynamic dorsiflexion; static dorsiflexion was similar, but TMA feet used less available range.
  • Conclusions:

    • Altered foot kinematics and elevated plantar pressures in TMA feet necessitate careful postsurgical footwear management.
    • Effective footwear strategies are essential for preventing ulceration in diabetic patients with TMA.