The American Journal of Surgery
Volume 192, Issue 5 , Pages e8-e11 , November 2006

Transmetatarsal amputation: assessment of current selection criteria

Presented at the 30th Annual Surgical Symposium of the Association of VA Surgeons, Cincinnati, Ohio, May 7–9, 2006

  • Thomas Anthony, M.D.

      Affiliations

    • Section of General Surgery, Surgical Service, VA North Texas Health Care System, 4500 S Lancaster Rd, Dallas, TX 75216, USA
    • Corresponding Author InformationCorresponding author. Tel.: +1-214-857-1800; fax: +1-214-857-1891.
    • ,
  • James Roberts, P.A.-C.

      Affiliations

    • Section of General Surgery, Surgical Service, VA North Texas Health Care System, 4500 S Lancaster Rd, Dallas, TX 75216, USA
    • ,
  • J. Gregory Modrall, M.D.

      Affiliations

    • Section of Vascular Surgery, Surgical Service, VA North Texas Health Care System, Dallas, TX, USA
    • ,
  • Sergio Huerta, M.D.

      Affiliations

    • Section of General Surgery, Surgical Service, VA North Texas Health Care System, 4500 S Lancaster Rd, Dallas, TX 75216, USA
    • ,
  • Massimo Asolati, M.D.

      Affiliations

    • Section of General Surgery, Surgical Service, VA North Texas Health Care System, 4500 S Lancaster Rd, Dallas, TX 75216, USA
    • ,
  • John Neufeld, M.D.

      Affiliations

    • Section of Orthopedic Surgery, Surgical Service, VA North Texas Health Care System, Dallas, TX, USA
    • ,
  • Betty Parker, R.N.

      Affiliations

    • Section of General Surgery, Surgical Service, VA North Texas Health Care System, 4500 S Lancaster Rd, Dallas, TX 75216, USA
    • ,
  • Weibin Yang, M.D.

      Affiliations

    • Physical Medicine and Rehabilitation Service, VA North Texas Health Care System, Dallas, TX, USA
    • ,
  • George Sarosi, M.D.

      Affiliations

    • Section of General Surgery, Surgical Service, VA North Texas Health Care System, 4500 S Lancaster Rd, Dallas, TX 75216, USA

Received 5 May 2006 ,Revised 3 August 2006

References 

  1. Toursarkissian B, Hagino RT, Khan K, et al. Healing of transmetatarsal amputation in the diabetic patient: is angiography predictive?. Ann Vasc Surg. 2005;19:769–773
  2. Sheahan MG, Hamdan AD, Veraldi JR, et al. Lower extremity minor amputations: the roles of diabetes mellitus and timing of revascularization. J Vasc Surg. 2005;42:476–480
  3. Glass H, Rowe VL, Hood DB, et al. Influence of transmetatarsal amputation in patients requiring lower extremity distal revascularization. Am Surg. 2004;70:845–849
  4. Quigley FG, Faris IB, Xiouruppa H. Transmetatarsal amputation for advanced forefoot tissue loss in elderly patients. Aust N Z J Surg. 1995;65:339–341
  5. Adera HM, James K, Castronuovo JJ, et al. Prediction of amputation wound healing with skin perfusion pressure. J Vasc Surg. 1995;21:823–828discussion 828–9
  6. Gibbons GW, Wheelock FC, Siembieda C, et al. Non-invasive prediction of amputation levels in diabetics. Arch Surg. 1979;144:1253–1257
  7. Bone GE, Pomajzl MJ. Toe blood pressure by photoplethysmography: an index of healing in forefoot amputation. Surgery. 1981;89:569–574
  8. Mwipatayi BP, Naidoo NG, Jeffery PC, et al. Transmetatarsal amputation: three-year experience at Groote Schuur Hospital. World J Surg. 2005;29:245–248
  9. Hruska LA, Smith JM, Hendy MP, et al. Continuous insulin infusion reduces infectious complications in diabetics following coronary surgery. J Card Surg. 2005;20:403–407
  10. Furnary AP, Wu Y, Bookin SO. Effects of hyperglycemia and continuous intravenous insulin infusions on outcomes of cardiac surgical procedures: the Portland Diabetic Project. Endo Pract. 2004;10(Suppl 2):21–33
  11. Lazar HL, Chipkin SR, Fitzgerald CA, et al. Tight glycemic control in diabetic coronary artery bypass graft patients improves perioperative outcomes and decreases recurrent ischemic events. Circulation. 2004;109:1497–1502
  12. Pomposelli FB, Basile P, Campbell DR, LoGerfo FW. Salvaging the ischemic transmetatarsal amputation through distal arterial reconstruction. J Am Podiatr Med Assoc. 1993;83:87–90
  13. La Fontaine J, Reyzelman A, Rothenberg G, et al. The role of revascularization in transmetatarsal amputations. J Am Podiatr Med Assoc. 2001;91:533–535

PII: S0002-9610(06)00501-0

doi: 10.1016/j.amjsurg.2006.08.011

The American Journal of Surgery
Volume 192, Issue 5 , Pages e8-e11 , November 2006

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