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Subtotal Pedal Amputations

Biomechanical and Intraoperative Considerations

Christopher Funk Submitted during first-year podiatric surgical residency, Doxey-Hatch Medical Center/Veterans Affairs Medical Center, Salt Lake City, UT.

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Gregg Young Chief of Podiatry and Director of Podiatric Medical Education, Veterans Affairs Medical Center, Salt Lake City, UT, and Assistant Professor, Department of Vascular Surgery, University of Utah School of Medicine. Mailing address:Veterans Affairs Medical Center 112, 500 Foothill Blvd, Salt Lake City, UT 84148.

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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)