TY - JOUR
T1 - Trans-metatarsal amputation in patients with a diabetic foot
T2 - Reviewing 10 years experience
AU - Dudkiewicz, Israel
AU - Schwarz, Oren
AU - Heim, Michael
AU - Herman, Amir
AU - Siev-Ner, Itzhak
PY - 2009/12
Y1 - 2009/12
N2 - Considerable disagreement exists whether trans-metatarsal amputations are indicated in persons with diabetes. A previous study reported that statistically the success rate of Syme's amputation in diabetic patients over 65 years of age resulted in a very poor results. The purpose of this study was to investigate the results of trans-metatarsal amputations, in patients with diabetes and to seek markers which could shed light upon the advantages/disadvantages of this procedure. The records of 46 patients covering a 10-year period (1996-2006) were used as a database. Twelve needed higher amputation level and another 10 needed a wound revision. All the patients that maintained the original amputation level walk without a need for a prosthesis and kept their previous abode. TMA in diabetic patients, although at a high risk for an extrasurgical procedure, once successful, the patient will regain his previous lifestyle.
AB - Considerable disagreement exists whether trans-metatarsal amputations are indicated in persons with diabetes. A previous study reported that statistically the success rate of Syme's amputation in diabetic patients over 65 years of age resulted in a very poor results. The purpose of this study was to investigate the results of trans-metatarsal amputations, in patients with diabetes and to seek markers which could shed light upon the advantages/disadvantages of this procedure. The records of 46 patients covering a 10-year period (1996-2006) were used as a database. Twelve needed higher amputation level and another 10 needed a wound revision. All the patients that maintained the original amputation level walk without a need for a prosthesis and kept their previous abode. TMA in diabetic patients, although at a high risk for an extrasurgical procedure, once successful, the patient will regain his previous lifestyle.
KW - Diabetic foot
KW - Trans-metatarsal amputation
UR - http://www.scopus.com/inward/record.url?scp=71249090371&partnerID=8YFLogxK
U2 - 10.1016/j.foot.2009.07.005
DO - 10.1016/j.foot.2009.07.005
M3 - ???researchoutput.researchoutputtypes.contributiontojournal.article???
AN - SCOPUS:71249090371
SN - 0958-2592
VL - 19
SP - 201
EP - 204
JO - Foot
JF - Foot
IS - 4
ER -
