Cover Journal of the American Podiatric Medical Association
Journal of the American Podiatric Medical Association
ISSN:
8750-7315
  • 1

    Gregory JL, Peters VZ, Harkless LB: “Amputation in the Foot,” in A Comprehensive Textbook of Foot Surgery, 2nd Ed, ed by ED McGlamry, AS Banks, MS Downey, p 1390, Williams & Wilkins, Baltimore, MD 1992..

    • PubMed
    • Export Citation
  • 2

    McKittrick LS, McKittrick JB, Risley TS: Transmetatarsal amputation for infection or gangrene in patients with diabetes mellitus. .Ann Surg 130::826. ,1949. .

  • 3

    Garbolosa J: Foot function in diabetic patients after partial amputation. .Foot Ankle Int 17::43. ,1996. .

  • 4

    Hunter G: Results of minor foot amputations for ischemia of lower extremity in diabetics and nondiabetics. .Can J Surg 18::273. ,1975. .

  • 5

    Effeney DJ, Lim RC, Scheter WP: Transmetatarsal amputations. .Arch Surg 112::1366. ,1977. .

  • 6

    Durham J, McCoy DM, Sawchuk AP, et al: Open transmetatarsal amputation in the treatment of severe foot infection. .Amer J Surg 158::127. ,1989. .

  • 7

    Hobson M, Stonebridge PA, Clason A: Place of transmetatarsal amputations: a 5-year experience and review of the literature. .J R Coll Surg Edinb 35::113. ,1990. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 8

    Hosch J, Quiroga C, Bosma J, et al: Outcomes of transmetatarsal amputations in patients with diabetes mellitus. .J Foot Ankle Surg 36::430. ,1997. .

  • Harris KA, Van Schie L, Carroll SE: Rehabilitation potential of elderly patients with major amputations. .J Cardiovasc Surg 32::463. ,1991. .

    • PubMed
    • Search Google Scholar

  • Lange TA, Nasca RJ: Traumatic partial foot amputations. .Clin Orthop 185::137. ,1984. .

  • McKittrick J: Transmetatarsal amputation in patients with diabetes mellitus. .Amer J Surg 33::779. ,1967. .

    • PubMed
    • Search Google Scholar

  • Pinzur M, Kaminsky M, Sage R, et al: Amputations at the middle level of the foot: a retrospective and perspective review. .J Bone Joint Surg Am 68::1061. ,1986. .

    • PubMed
    • Search Google Scholar

  • Sanders L, Dunlap G: Transmetatarsal amputation: a successful approach to limb salvage. .JAPMA 82::129. ,1992. .

    • PubMed
    • Search Google Scholar

  • Schwindt CD, Lulloff RS, Rogers SC: Transmetatarsal amputations. .Orthop Clin North Am 4::31. ,1973. .

    • PubMed
    • Search Google Scholar

  • Warren J: Transmetatarsal amputations in arterial deficiency of the lower extremity. .Surg 31::132. ,1952. .

    • PubMed
    • Search Google Scholar

  • Young A: Transmetatarsal amputation in the management of peripheral ischemia. .Am J Surg 134::604. ,1977. .

    • PubMed
    • Search Google Scholar
Article Type:
Original Articles
Online Publication Date:
Nov 2001

The Role of Revascularization in Transmetatarsal Amputations

Javier La Fontaine Submitted during second-year residency, University of Texas Health Science Center at San Antonio, Podiatry Service, 7703 Floyd Curl Dr, San Antonio, TX 78284.

Search for other papers by Javier La Fontaine in
Current site
Google Scholar
PubMed Close
 DPM
,
Alex Reyzelman Submitted as Chief Resident, University of Texas Health Science Center at San Antonio, San Antonio, TX.

Search for other papers by Alex Reyzelman in
Current site
Google Scholar
PubMed Close
 DPM
,
Gary Rothenberg Submitted during first-year residency, University of Texas Health Science Center at San Antonio, San Antonio, TX.

Search for other papers by Gary Rothenberg in
Current site
Google Scholar
PubMed Close
 DPM
,
Khalid Husain Submitted as Diabetic Foot Fellow, University of Texas Health Science Center at San Antonio, San Antonio, TX.

Search for other papers by Khalid Husain in
Current site
Google Scholar
PubMed Close
 DPM
, and
Lawrence B. Harkless Professor, University of Texas Health Science Center at San Antonio, San Antonio, TX.

Search for other papers by Lawrence B. Harkless in
Current site
Google Scholar
PubMed Close
 DPM
DOI:
https://doi.org/10.7547/87507315-91-10-533
Restricted access
Copyright Permission Requests
USD  $35.00
Click here to view the full Terms and Conditions

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 months. The authors concluded that at a maximum of 3 years follow-up after initial amputation, transmetatarsal amputation was a successful amputation level. (J Am Podiatr Med Assoc 91(10): 533-535, 2001)

Save