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Transmetatarsal Amputation: A Case Series and Review of the Literature
Author(s) -
Ryan McCallum,
Mark Tagoe
Publication year - 2012
Publication title -
journal of aging research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.564
H-Index - 43
eISSN - 2090-2212
pISSN - 2090-2204
DOI - 10.1155/2012/797218
Subject(s) - medicine , forefoot , amputation , osteomyelitis , podiatry , diabetic foot , surgery , foot (prosody) , diabetes mellitus , general surgery , complication , alternative medicine , pathology , linguistics , philosophy , endocrinology
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 feet) and have found the TMA to be an effective procedure in the management of cases of severe forefoot ulceration and infection.

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