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Transmetatarsal and midfoot amputations

¹Surgical Service, VA Medical Center, Lebanon, Pennsylvania 17042, USA.

Clinics in Podiatric Medicine and Surgery

|October 31, 1997

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Transmetatarsal and midfoot amputations offer limb salvage options. Transmetatarsal amputation preserves foot function and is cosmetically acceptable, avoiding the need for prostheses.

Area of Science:

Podiatric surgery
Orthopedic surgery

Background:

Midfoot amputations, including Lisfranc and Chopart procedures, can lead to equinovarus deformity and require Achilles tendon lengthening.
Transmetatarsal amputation is a surgical option for limb salvage in the foot.

Purpose of the Study:

To discuss transmetatarsal and midfoot amputations, covering selection criteria, surgical techniques, wound healing, and functional outcomes.
To highlight the benefits of transmetatarsal amputation, such as preserved foot function and cosmetic acceptability.

Main Methods:

Review of surgical techniques for transmetatarsal and midfoot amputations.
Discussion of criteria for selecting amputation level and ensuring wound healing.
Analysis of functional considerations and outcomes post-amputation.

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Main Results:

Transmetatarsal amputation preserves foot function and is cosmetically acceptable.
This procedure does not require a prosthesis, aiding patient recovery.
Successful limb salvage is achievable with motivated patients and experienced surgeons.

Conclusions:

Transmetatarsal amputation is a viable limb salvage procedure.
Careful patient selection and surgical technique are crucial for successful outcomes.
Functional preservation and cosmetic results are key advantages of transmetatarsal amputation.