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Journal articles on the topic 'Transmetatarsal amputation'

Author: Grafiati

Published: 4 June 2025

Last updated: 1 August 2025

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1

Elsherif, Mohamed, Wael Tawfick, Patrick Canning, Niamh Hynes, and Sherif Sultan. "Quality of time spent without symptoms of disease or toxicity of treatment for transmetatarsal amputation versus digital amputation in diabetic patients with digital gangrene." Vascular 26, no. 2 (2017): 142–50. http://dx.doi.org/10.1177/1708538117718108.

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Aim We aim to compare the outcome of diabetic patients with gangrenous toes who were managed initially either by digital amputation or by transmetatarsal amputation. The null hypothesis is that transmetatarsal amputation had less theatre trips and better healing. Materials and Methods A parallel observational comparative study of all diabetic patients who underwent either digital or transmetatarsal amputation in a tertiary referral center from 2002 through 2015. Comorbid conditions, subsequent amputations, hospital stay, and readmission were noted. Results A total of 223 patients underwent min

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Sabatini, Jefferson, Susan Odum, J. Kent Ellington, Carroll P. Jones, and W. Hodges Davis. "A Retrospective Review of Risk Factors and Conversion Rate of Transmetatarsal Amputations to Below or Above Knee Amputation." Foot & Ankle Orthopaedics 2, no. 3 (2017): 2473011417S0003. http://dx.doi.org/10.1177/2473011417s000343.

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Category: Diabetes Introduction/Purpose: Despite the presence of several studies examining the conversion from transmetatarsal amputation (TMA) to a more proximal amputation, few studies identified the possible predictors of failure. The objective of this study is to examine the rate of conversion of transmetatarsal amputation to below or above knee amputation, and to identify the risk factors for conversion. Methods: A retrospective cohort study was performed examining 71 transmetatarsal amputations performed by a single group of foot and ankle subspecialists within a single specialty group b

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Sanders, LJ, and G. Dunlap. "Transmetatarsal amputation. A successful approach to limb salvage." Journal of the American Podiatric Medical Association 82, no. 3 (1992): 129–35. http://dx.doi.org/10.7547/87507315-82-3-129.

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To assess the outcome of transmetatarsal amputations of the foot, data were analyzed for all transmetatarsal and midfoot amputations performed at the Lebanon Veterans Health Administration Medical Center for the period 1984 to 1990. During this 6-year period, 42 consecutive transmetatarsal and midfoot amputations were performed on 39 patients. Patient demographics, factors leading to amputation, level of amputation, outcome, function, and long-term complications were analyzed. Overall healing rate was 83.3%, with an average length of hospital stay of 35.7 days (range 3 to 96 days). Average fol

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Habershaw, GM, GW Gibbons, and BI Rosenblum. "A historical look at the transmetatarsal amputation and its changing indications." Journal of the American Podiatric Medical Association 83, no. 2 (1993): 79–81. http://dx.doi.org/10.7547/87507315-83-2-79.

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In March 1949, McKittrick described the use of the transmetatarsal amputation for the diabetic foot, along with specific indications. Infection, ischemia, and neuropathic ulcerations of the toes and forefoot were all treated with this procedure. In the past 30 years, however, advances in the management of these problems have led to a decrease in the number of transmetatarsal amputations performed at the New England Deaconess Hospital. With these advances, the current approach to the transmetatarsal amputation has changed, leading to significant modifications in the basic indications for this p

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Chrzan, JS, JM Giurini, and JM Hurchik. "A biomechanical model for the transmetatarsal amputation." Journal of the American Podiatric Medical Association 83, no. 2 (1993): 82–86. http://dx.doi.org/10.7547/87507315-83-2-82.

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The transmetatarsal amputation has been performed for over 40 years as a limb salvage procedure, in diabetic patients with nonhealing ulcerations or nonreconstructible ischemia. It is generally believed that the transmetatarsal amputation provides a better walking extremity than a more proximal amputation and is more energy efficient. A review of the literature reveals little regarding the biomechanics of the "short foot." The authors will review the functions of the myofascial structures in both the normal foot and the transmetatarsal amputation and discuss the influence of mechanics on trans

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Nguyen, Tien H., Ian L. Gordon, Delores Whalen, and Samuel E. Wilson. "Transmetatarsal Amputation: Predictors of Healing." American Surgeon 72, no. 10 (2006): 973–77. http://dx.doi.org/10.1177/000313480607201030.

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The objective of this study is to determine the predictors of healing after transmetatarsal amputations (TMA) and factors leading to a higher level of amputation. A total of 33 TMA was performed in 31 patients during the 5 years between January 2000 and Jul 2005. All patients were men between the ages of 44 and 82 years (mean, 68 years). The mean follow-up period was 36 months (range, 1–65 months). Twelve (40%) TMA required a subsequent higher level of amputation. Seventeen (57%) TMA were successful. The average time until further proximal amputation after TMA was 3.5 months. Risk factors for

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7

Pomposelli, FB, P. Basile, DR Campbell, and FW LoGerfo. "Salvaging the ischemic transmetatarsal amputation through distal arterial reconstruction." Journal of the American Podiatric Medical Association 83, no. 2 (1993): 87–90. http://dx.doi.org/10.7547/87507315-83-2-87.

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From 1982 to 1991, 17 patients underwent a lower extremity arterial bypass to salvage an ischemic transmetatarsal amputation at the New England Deaconess Hospital. Eleven patients were male, and 16 had diabetes for an average of 29 years. The mean age was 71 years. Twelve patients presented with an ischemic ulcer, one had rest pain, and four underwent bypass for failure to heal a transmetatarsal amputation. Twelve patients presented with findings of secondary infection. All 17 patients underwent successful lower extremity bypass procedures to a variety of outflow vessels. Thirteen bypasses wer

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Bardyugov, P. S., M. V. Parshikov, and N. V. Yarygin. "Surgical Treatment of Post-Amputation Foot Deformations in Diabetic Neuropathy." Russian Sklifosovsky Journal "Emergency Medical Care" 13, no. 1 (2024): 108–15. http://dx.doi.org/10.23934/2223-9022-2024-13-1-108-115.

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Relevance The number of amputations performed on patients with diabetic foot syndrome is increasing all over the world. Almost half of these operations are the so-called “minor amputations” carried out within the foot. The high recurrence rate of neuropathic ulcers, impaired biomechanics, and a decrease in the quality of life of patients after these surgeries encourage the study of this problem and the search for possible treatment options due to the capabilities of surgical treatment for post-amputation foot deformities.Aim of study To evaluate the nature of surgical interventions for post-am

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Giurini, JM, P. Basile, JS Chrzan, GM Habershaw, and BI Rosenblum. "Panmetatarsal head resection. A viable alternative to the transmetatarsal amputation." Journal of the American Podiatric Medical Association 83, no. 2 (1993): 101–7. http://dx.doi.org/10.7547/87507315-83-2-101.

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While the transmetatarsal amputation has resulted in the salvage of numerous diabetic limbs, it remains an ablative procedure with both short- and long-term complications. The authors reviewed their experience with the panmetatarsal head resection as an alternative to the transmetatarsal amputation. A retrospective review was performed of all patients having undergone this procedure between May 1986 and November 1991. Thirty-seven procedures were performed; of these, 34 were evaluated. The average follow-up period was 20.9 months. Thirty-two feet showed primary healing while one showed delayed

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La Fontaine, Javier, Alex Reyzelman, Gary Rothenberg, Khalid Husain, and Lawrence B. Harkless. "The Role of Revascularization in Transmetatarsal Amputations." Journal of the American Podiatric Medical Association 91, no. 10 (2001): 533–35. http://dx.doi.org/10.7547/87507315-91-10-533.

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Data from 37 patients who underwent a transmetatarsal amputation from January 1993 to April 1996 were reviewed. The mean age and diabetes duration of the subjects were 54.9 (± 13.2) years and 16.6 (± 8.9) years, respectively. The follow-up period averaged 42.1 (± 11.2) months. At the time of follow-up, 29 (78.4%) of the 37 patients still had foot salvage, 8 (21.6%) had progressed to below-the-knee amputation, and 15 (40.5%) had undergone lower-extremity revascularization. Twelve (80%) of the 15 revascularized patients preserved their transmetatarsal amputation level at a follow-up of 36.4 mont

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Hahn, Hyung Min, Kwang Sik Jeong, Myong Chul Park, Dong Ha Park, and Il Jae Lee. "Free-Flap Transfer for Coverage of Transmetatarsal Amputation Stump to Preserve Residual Foot Length." International Journal of Lower Extremity Wounds 16, no. 1 (2017): 60–65. http://dx.doi.org/10.1177/1534734616689508.

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Surgical management of soft-tissue defects of the forefoot and midfoot caused by trauma or diabetic complications can be challenging because locoregional tissue is insufficient to provide adequate flap. This deficiency necessitates higher-level amputations, such as Chopart or even transtibial amputation, resulting in far more debilitating functional outcomes than are seen with partial foot amputation. The purpose of this study was to examine the surgical outcomes after transmetatarsal amputation and a free-flap transfer to preserve foot length. This prospective case series was conducted from J

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Terashi, Hiroto, Ikuro Kitano, Yoriko Tsuji, Kazunobu Hashikawa, and Shinya Tahara. "A Modified Transmetatarsal Amputation." Journal of Foot and Ankle Surgery 50, no. 4 (2011): 441–44. http://dx.doi.org/10.1053/j.jfas.2011.03.018.

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Ordaz, Angel, Conner Trimm, Jason Pedowitz, and Ian M. Foran. "Transmetatarsal Amputation Results in Higher Frequency of Revision Surgery and Higher Ambulation Rates Than Below-Knee Amputation." Foot & Ankle Orthopaedics 7, no. 3 (2022): 247301142211129. http://dx.doi.org/10.1177/24730114221112938.

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Background: Selecting the level of amputation for patients with severe foot pathology can be challenging. The surgeon is sometimes confronted with an option between transmetatarsal amputation (TMA) and below-knee amputation (BKA). Recent studies have suggested that minor foot amputations have high revision rates and need for higher level of amputation. This study sought to compare the revision rates, need for higher level of amputation, postoperative ambulatory rate, and the demographic factors between these 2 operations. Methods: We retrospectively reviewed the records of patients undergoing

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Barry, DC, KA Sabacinski, GM Habershaw, JM Giurini, and JS Chrzan. "Tendo Achillis procedures for chronic ulcerations in diabetic patients with transmetatarsal amputations." Journal of the American Podiatric Medical Association 83, no. 2 (1993): 96–100. http://dx.doi.org/10.7547/87507315-83-2-96.

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Recurrent ulceration following transmetatarsal amputation commonly results from hypertrophic bone formation or equinus deformity. In the current study, 31 diabetic patients underwent 33 Achilles tendon procedures for recurrent ulcerations at the distal stump of their transmetatarsal amputation. Primary healing was achieved in 21 procedures (64%) and secondary healing in 9 procedures (27%) for an overall healing rate of 91%. Two procedures failed to resolve the original ulceration (6%). The average follow-up examination was 27 months. The authors conclude that Achilles tendon procedures are an

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Schina, M. J., R. G. Atnip, D. A. Healy, and B. L. Thiele. "Relative Risks of Limb Revascularization and Amputation in the Modern Era." Cardiovascular Surgery 2, no. 6 (1994): 754–59. http://dx.doi.org/10.1177/096721099400200615.

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A retrospective review of 266 patients undergoing infrainguinal revascularization for limb salvage and/or major amputation (transmetatarsal, below-knee or above-knee) from 1984 to 1990 was conducted to determine comprehensive procedure-specific 30-day operative morbidity and mortality rates. Some 211 patients underwent 295 infrainguinal vascular reconstructions (195 primary and 100 secondary reconstructions). There were 122 major amputations in 98 patients (29 above-knee. 70 below-knee and 23 *transmetatarsal). Most amputations were performed in patients with unreconstructable vascular disease

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Trimm, Conner D., Angel Ordaz, Jason M. Pedowitz, and Ian M. Foran. "Transmetatarsal Amputation Results in Higher Frequency of Revision Surgery and Higher Ambulation Rates Than Below- Knee Amputation." Foot & Ankle Orthopaedics 7, no. 4 (2022): 2473011421S0097. http://dx.doi.org/10.1177/2473011421s00978.

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Category: Diabetes; Midfoot/Forefoot; Trauma; Other Introduction/Purpose: The level of amputation in patients with severe lower extremity pathology often presents a challenge. Surgeons are often confronted with deciding between a transmetatarsal amputation (TMA) or below-knee amputation (BKA). Certainly, in cases where patients are candidates for a TMA, the decision might seem rather straightforward. However, the literature has demonstrated that minor foot amputations, like TMAs, often have high rates of revision and often necessitate a higher level of amputation. This study compared revision

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Lynch, T., and IO Kanat. "Transmetatarsal amputation. A literature review and case study." Journal of the American Podiatric Medical Association 81, no. 10 (1991): 540–44. http://dx.doi.org/10.7547/87507315-81-10-540.

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The effect of diabetes on the lower extremity can be devastating. Surgical intervention on the diabetic foot must be carefully planned, and long-term results must be anticipated. The authors present a case history of a patient with multiple previous amputations of the forefoot, resulting in a severe deformity and a nonfunctional foot. Transmetatarsal amputation, if performed correctly, should provide a relatively functional extremity.

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Kaiser, Peter, Thomas Vincent Häller, Ilker Uçkay, et al. "Revision After Total Transmetatarsal Amputation." Journal of Foot and Ankle Surgery 58, no. 6 (2019): 1171–76. http://dx.doi.org/10.1053/j.jfas.2019.03.015.

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Swiontkowski, M. F. "Transmetatarsal Amputation: Predictors of Healing." Yearbook of Orthopedics 2007 (January 2007): 112–13. http://dx.doi.org/10.1016/s0276-1092(08)70116-0.

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20

Mueller, Michael J., and David R. Sinacore. "Rehabilitation Factors Following Transmetatarsal Amputation." Physical Therapy 74, no. 11 (1994): 1027–33. http://dx.doi.org/10.1093/ptj/74.11.1027.

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21

Funk, Christopher, and Gregg Young. "Subtotal Pedal Amputations." Journal of the American Podiatric Medical Association 91, no. 1 (2001): 6–12. http://dx.doi.org/10.7547/87507315-91-1-6.

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Proper treatment for the compromised diabetic foot often requires surgical correction and subtotal pedal amputation. This article discusses various levels of amputation of the human foot, including digital, ray, transmetatarsal, midfoot, and Syme amputations. Surgical techniques and biomechanical considerations are presented in order to assist the surgeon in planning for the most functional outcome of the patient. A review of the literature and the experiences of the authors are presented. (J Am Podiatr Med Assoc 91(1): 6-12, 2001)

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Glass, Holly, Vincent L. Rowe, Douglas B. Hood, Albert E. Yellin, and Fred A. Weaver. "Influence of Transmetatarsal Amputation in Patients Requiring Lower Extremity Distal Revascularization." American Surgeon 70, no. 10 (2004): 845–49. http://dx.doi.org/10.1177/000313480407001003.

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When a transmetatarsal amputation (TMA) is required, successful long-term limb salvage is questioned. We evaluated the influence of TMA on limb salvage in patients undergoing lower extremity revascularization. Patients who had distal bypasses extending to the infrapopliteal arterial tree and adjunctive TMA were retrospectively reviewed. Limb salvage was determined with life-table analysis. Twenty-four patients (29 limbs) were evaluated: 15 male and 9 female. Average age was 64.2 years old. Gangrene was the indication for bypass and TMA in 25 (86.2%) patients. Seven limbs were lost to follow-up

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Kadukammakal, John, Sydney Yau, and William Urbas. "Assessment of Partial First-Ray Resections and Their Tendency to Progress to Transmetatarsal Amputations." Journal of the American Podiatric Medical Association 102, no. 5 (2012): 412–16. http://dx.doi.org/10.7547/1020412.

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Background: Diabetic foot infections tend to lead to amputation. Partial first-ray resections are used to help salvage the foot and maintain bipedal ambulation. Losing the first metatarsophalangeal joint has biomechanical consequences that lead to further foot deformities and result in more proximal amputations of the ipsilateral limb, such as a transmetatarsal amputation. Methods: We reviewed 48 patients (32 male and 16 female; mean age = 62.44) who underwent 50 partial first-ray resections between April 1, 2003, and July 31, 2009. These partial first-ray resections were done at various level

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Reyzelman, AM, S. Hadi, and DG Armstrong. "Limb salvage with Chopart's amputation and tendon balancing." Journal of the American Podiatric Medical Association 89, no. 2 (1999): 100–103. http://dx.doi.org/10.7547/87507315-89-2-100.

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For several decades, Chopart's amputation has met with some skepticism owing to reports of significant equinus deformity developing soon after the procedure is performed. However, with appropriate tendon balancing, which generally includes anterior tibial tendon transfer and tendo Achillis lengthening, this level of amputation is often more functional than slightly more distal amputations, such as Lisfranc or short transmetatarsal amputations. The authors offer a rationale for this observation, which includes a discussion of the longitudinal and transverse arch concept of the foot. This concep

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Zamora, José Luis Cabrera. "Re-Amputations of Atherosclerotic Cause in Non-Diabetic Patients and Associated Factors." Open Access Journal of Cardiology 7, no. 1 (2023): 1–7. http://dx.doi.org/10.23880/oajc-16000188.

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Introduction: Peripheral arterial disease together with coronary disease and cerebrovascular disease are the result of atherosclerotic disease and constitute one of the main causes of morbidity, mortality and disability. Objectives: Estimate the frequency of re amputations and identify the factors associated with it. Material and Methods: Descriptive, ambispective, observational study in all the amputee patients, who were successively reamputed in the period from September 2018 to June 2022. The main variable of the study was the frequency of reamputation. Secondary output variables: time, ass

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Attinger, Christopher E., Andrew J. Meyr, Sarah Fitzgerald, and John S. Steinberg. "Preoperative Doppler Assessment for Transmetatarsal Amputation." Journal of Foot and Ankle Surgery 49, no. 1 (2010): 101–5. http://dx.doi.org/10.1053/j.jfas.2009.07.022.

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Baumfeld, Daniel, Tiago Baumfeld, Benjamim Macedo, Roberto Zambelli, Fernando Lopes, and Caio Nery. "FACTORS RELATED TO AMPUTATION LEVEL AND WOUND HEALING IN DIABETIC PATIENTS." Acta Ortopédica Brasileira 26, no. 5 (2018): 342–45. http://dx.doi.org/10.1590/1413-785220182605173445.

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ABSTRACT Objective: There are no specific criteria that define the level of amputation in diabetic patients. The objective of this study was to assess the influence of clinical and laboratory parameters in determining the level of amputation and the wound healing time. Methods: One hundred and thirty-nine diabetic patients were retrospectively assessed. They underwent surgical procedures due to infection and/or ischemic necrosis. Type of surgery, antibiotic use, laboratory parameters and length of hospital stay were evaluated in this study. Results: The most common amputation level was transme

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Rosenblum, BI, and DV Freeman. "Surgical revision of the problematic transmetatarsal amputation." Journal of the American Podiatric Medical Association 83, no. 2 (1993): 91–95. http://dx.doi.org/10.7547/87507315-83-2-91.

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Recurrent ulcerations may develop following transmetatarsal amputation in patients with diabetes mellitus. In many cases, these ulcerations require surgical intervention to achieve healing, especially in situations where conservative care has not been effective. These procedures range from the local resection of bone to skin grafting and flap techniques to successfully heal the wound. The ultimate goal of any surgical intervention is to prevent a more proximal amputation.

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Weaver, F. A., J. G. Modrall, S. Baek, et al. "Syme Amputation: Results in Patients with Severe Forefoot Ischemia." Cardiovascular Surgery 4, no. 1 (1996): 81–86. http://dx.doi.org/10.1177/096721099600400116.

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Since 1980, 35 patients (age range 40–77 years) with severe forefoot ischemia have undergone a unilateral Syme amputation. Thirty-one patients (89%) were diabetic. The indication for amputation was either extensive forefoot gangrene or ulceration too advanced for a digital or transmetatarsal amputation. Twenty-two amputations (63%) were immediately preceded by either percutaneous tranluminal angioplasty (four) or a bypass procedure to the popliteal artery (five) or an infrapopliteal artery (13). Primary healing occurred in 19 (86%) of 22 amputations immediately preceded by revascularization an

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Nisihara, Renato, Julia Maria Ramos, Gabriela Rizental Rodrigues, Antonio Lacerda Santos Filho, and Thelma Larocca Skare. "Clinical profile of limb amputation cases." Scientia Medica 35, no. 1 (2025): e46486. https://doi.org/10.15448/1980-6108.2025.1.46486.

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Objective: to identify the profile of patients who underwent limb amputation in a sample of Brazilian patients.Method: a retrospective study was conducted by reviewing the medical records of patients who sought medical care between January 2011 and December 2020 at a single tertiary referral university hospital. Data collection included age, sex, indications for amputation, amputated limb, level of amputation, and comorbidities.Results: four hundred medical records of amputation cases were reviewed. The median age of the patients was 71 (63-80) years, and the majority were male (69%). Diabetes

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Omeroglu, Sinan, Ibrahim Demir, and Metin O. Beyaz. "Critical factors leading to wound complications in amputated patients: low hematocrit levels." International Surgery Journal 8, no. 1 (2020): 39. http://dx.doi.org/10.18203/2349-2902.isj20205867.

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Background: Patients with diabetes-induced lower extremity infection and gangrene suffer from post-amputation wound complications. The aim of this report is to identify critical factors leading to wound complications in amputated patients.Methods: 50 patients with ipsilateral transmetatarsal (TMA) or finger amputation treated in Istanbul University Medical Faculty between 2001 and 2013 were retrospectively reviewed. Amputations were caused by diabetic foot infection. None of the patients had peripheral artery disease (ABPI>1.1).Results: In 9 (18%) patients, revision was required despite app

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Roth, Franz-Josef L., Normand L. Miller, Herbert L. Dardik, et al. "Transmetatarsal amputation: The role of adjunctive revascularization." Journal of Vascular Surgery 13, no. 5 (1991): 705–11. http://dx.doi.org/10.1067/mva.1991.26928.

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Tang, Simon F. T., Carl P. C. Chen, Max J. L. Chen, Weng-Pin Chen, Chau-Peng Leong, and Ngok-Kiu Chu. "Transmetatarsal Amputation Prosthesis with Carbon-Fiber Plate." American Journal of Physical Medicine & Rehabilitation 83, no. 2 (2004): 124–30. http://dx.doi.org/10.1097/01.phm.0000107483.39213.24.

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Kempe, Kelly, Naema Zarish, Muzamil Aziz, et al. "The Challenge of the Complete Transmetatarsal Amputation." Journal of Vascular Surgery 65, no. 3 (2017): e5. http://dx.doi.org/10.1016/j.jvs.2016.12.034.

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Miller, Normand, Herbert Dardik, Fred Wolodiger, et al. "Transmetatarsal amputation: The role of adjunctive revascularization." Journal of Vascular Surgery 13, no. 5 (1991): 705–11. http://dx.doi.org/10.1016/0741-5214(91)90357-z.

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Anthony, Thomas, James Roberts, J. Gregory Modrall, et al. "Transmetatarsal amputation: assessment of current selection criteria." American Journal of Surgery 192, no. 5 (2006): e8-e11. http://dx.doi.org/10.1016/j.amjsurg.2006.08.011.

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Humphrey, J. A., S. Kanthasamy, P. Coughlin, A. Coll, and A. H. N. Robinson. "OUTCOME OF TRANSMETATARSAL AMPUTATIONS IN PATIENTS WITH DIABETES MELLITUS: A MULTIDISCIPLINARY FOOT CARE SERVICE APPROACH." Orthopaedic Proceedings 106-B, SUPP_7 (2024): 8. http://dx.doi.org/10.1302/1358-992x.2024.7.008.

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AimThis retrospective case series reports the reoperation, major amputation, survival rates and mobility status in diabetic patients who underwent a trans-metatarsal amputation (TMA) managed within a multi-disciplinary diabetic foot care service.Methods and patientsForty-one consecutive patients (37 men, 4 women) underwent a TMA between January 2008 to December 2017. They were retrospectively reviewed. The mean age at the time of surgery was 63 years (range 39 – 92).ResultsEighty-eight per cent (36/41) of the patients were followed-up. Four (11%) of the 36 patients required reoperation, includ

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Barcel, D. Anthony, Susan M. Odum, Taylor Rowe, et al. "Mortality and Conversion Rate to Below Knee or Above Knee Amputation Following Transmetatarsal Amputation." Foot & Ankle Orthopaedics 5, no. 4 (2020): 2473011420S0011. http://dx.doi.org/10.1177/2473011420s00112.

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Category: Midfoot/Forefoot; Diabetes; Other Introduction/Purpose: Non-traumatic lower extremity amputations (LEA), especially those performed in dysvascular and diabetic patients, are known to have poor long-term prognosis. Perioperative mortality has been reported at between 4 and 10%, and the 1 and 5 year mortality rates range between 22-33% and 39-69%, respectively. While poor outcomes in these patients have been described, there is no consensus as to the predictors of mortality. The purpose of the study is to determine the percentage of patients who had a complication following transmetata

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Miller, Whitney, Chrystal Berg, Michael L. Wilson, Susan Heard, Bryan Knepper, and Heather Young. "Risk Factors for Below-the-Knee Amputation in Diabetic Foot Osteomyelitis After Minor Amputation." Journal of the American Podiatric Medical Association 109, no. 2 (2019): 91–97. http://dx.doi.org/10.7547/16-143.

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Background:Below-the-knee amputation (BKA) can be a detrimental outcome of diabetic foot osteomyelitis (DFO). Ideal treatment of DFO is controversial, but studies suggest minor amputation reduces the risk of BKA. We evaluated risk factors for BKA after minor amputation for DFO.Methods:This is a retrospective cohort of patients discharged from Denver Health Medical Center from February 1, 2012, through December 31, 2014. Patients who underwent minor amputation for diagnosis of DFO were eligible for inclusion. The outcome evaluated was BKA in the 6 months after minor amputation.Results:Of 153 ep

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Marks, M., RP Reinherz, CF Tsai, and G. Cacciaglia. "Transmetatarsal amputation with collateral use of radioisotope studies." Journal of the American Podiatric Medical Association 75, no. 2 (1985): 63–65. http://dx.doi.org/10.7547/87507315-75-2-63.

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Friedmann, Lawrence W., Patricia A. Padula, Jay M. Weiss, Barry Root, Michael Polchaninoff, and Daniel Shapiro. "Studies on the Survival of Transmetatarsal Amputation Stumps." Vascular Surgery 23, no. 1 (1989): 34–42. http://dx.doi.org/10.1177/153857448902300106.

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Geroulakos, G., and A. R. L. May. "Transmetatarsal amputation in patients with peripheral vascular disease." European Journal of Vascular Surgery 5, no. 6 (1991): 655–58. http://dx.doi.org/10.1016/s0950-821x(05)80901-6.

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McCallum, Ryan, and Mark Tagoe. "Transmetatarsal Amputation: A Case Series and Review of the Literature." Journal of Aging Research 2012 (2012): 1–6. http://dx.doi.org/10.1155/2012/797218.

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Foot ulceration is a major cause of morbidity amongst patients with diabetes. In severe cases of ulceration, osteomyelitis and amputation can ensue. A distinct lack of agreement exists on the most appropriate level of amputation in cases of severe foot ulceration/infection to provide predictable healing rates. This paper provides an overview of the transmetatarsal amputation (TMA) as a limb salvage procedure and is written with the perspective and experiences of the Department of Podiatric Surgery at West Middlesex University Hospital (WMUH). We have reflected on the cases of 11 patients (12 f

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Werlin, Evan C., Melinda S. Schaller, Charles B. Parks, et al. "Lower Extremity Revascularization With Transmetatarsal Amputation Improves Healing and Reduces Major Amputation." Journal of Vascular Surgery 68, no. 3 (2018): e37. http://dx.doi.org/10.1016/j.jvs.2018.06.085.

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Macedo, Rodrigo Sousa, Lucas Sousa Macedo, Marcos Hideyo Sakaki, et al. "Common late complications of longitudinal forefoot amputations in neuropathic foot treatment." Journal of Wound Care 30, no. 6 (2021): 498–503. http://dx.doi.org/10.12968/jowc.2021.30.6.498.

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Objective: To describe and quantify the complications arising in consecutive neuropathic patients undergoing partial longitudinal amputations of the foot. Method: A retrospective study was conducted with data collected from the medical records of patients monitored at the Insensitive Foot Clinic of the Foot and Ankle Group of our institution who underwent partial amputation of foot rays from 2000 to 2016. Results: A total of 28 patients met the inclusion criteria, with a total of 31 amputated/partially amputated feet. Of these, 18 (58.1%) feet were amputated/partially amputated due to diabetes

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Ansert, Elizabeth, John Najjar, and Robert J. Snyder. "A Preliminary Look at the Macrovascular System for Transmetatarsal Amputation Success." Advances in Skin & Wound Care 36, no. 11 (2023): 610–15. http://dx.doi.org/10.1097/asw.0000000000000057.

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ABSTRACT OBJECTIVE Transmetatarsal amputation (TMA) is a commonly used level of amputation that preserves most of the foot’s function and independence. However, many TMAs fail, and patients go onto higher amputations. The primary endpoint of this study is to determine if source artery occlusions are correlated with TMA flap failure. METHODS A total of 82 patients with TMAs were retrospectively reviewed for healing rates between 2009 and 2019 at a single center. Forty-five of the patients had an angiogram, which was analyzed for source artery and overall TMA failure. Of the initial 82 patients,

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Blume, Peter, Christine Salonga, Juan Garbalosa, et al. "Predictors for the Healing of Transmetatarsal Amputations: Retrospective Study of 91 Amputations." Vascular 15, no. 3 (2007): 126–33. http://dx.doi.org/10.2310/6670.2007.00035.

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This retrospective study reviewed 80 consecutive patients (mean age 62 years; range 21–91 years) who underwent 91 transmetatarsal amputations (TMAs) between 1995 and 2003. The mean follow-up was 12 ± 1.36 months. Sixty-two TMAs healed initially (group 1), whereas 29 TMAs did not heal by 3 months (group 2). At the final examination, in groups 1 and 2, 63 of 91 (69%) limbs were healed. Of the 28 limbs that did not heal, 25 of 28 (89%) required further proximal amputation. Initial healing correlated significantly with the ability to ambulate ( p < .0001) and overall limb salvage ( p < .0001

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Mueller, Michael J., Brent T. Allen, and David R. Sinacore. "Incidence of skin breakdown and higher amputation after transmetatarsal amputation: Implications for rehabilitation." Archives of Physical Medicine and Rehabilitation 76, no. 1 (1995): 50–54. http://dx.doi.org/10.1016/s0003-9993(95)80042-5.

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Belkin, Nathan, Jordan B. Stoecker, Benjamin Jackson, et al. "Predicting Reamputation at a Higher Level After Transmetatarsal Amputation." Journal of Vascular Surgery 74, no. 3 (2021): e184-e185. http://dx.doi.org/10.1016/j.jvs.2021.06.276.

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McLeod, Jacob M., Charles O. Brantigan, Kristen Alix, Dustin L. Kruse, and Paul A. Stone. "Transmetatarsal Amputation in the Setting of Antiphospholipid Antibody Syndrome." Journal of Foot and Ankle Surgery 52, no. 3 (2013): 383–88. http://dx.doi.org/10.1053/j.jfas.2013.02.011.

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