Transmetatarsal Amputation Questions & Answers

1. Wheeless CR III. Transmetatarsal amputation. Wheeless Online. Available at http://www.wheelessonline.com/ortho/transmetatarsal_amputation. 2021; Accessed: April 15, 2021.

2. McKittrick LS, McKittrick JB, Risley TS. Transmetatarsal Amputation for Infection or Gangrene in Patients with Diabetes Mellitus. Ann Surg. 1949 Oct. 130 (4):826-40. [QxMD MEDLINE Link]. [Full Text].

3. Anthony T, Roberts J, Modrall JG, Huerta S, Asolati M, Neufeld J, et al. Transmetatarsal amputation: assessment of current selection criteria. Am J Surg. 2006 Nov. 192 (5):e8-11. [QxMD MEDLINE Link].

4. Ammendola M, Sacco R, Butrico L, Sammarco G, de Franciscis S, Serra R. The care of transmetatarsal amputation in diabetic foot gangrene. Int Wound J. 2017 Feb. 14 (1):9-15. [QxMD MEDLINE Link].

5. Mueller MJ, Sinacore DR. Rehabilitation factors following transmetatarsal amputation. Phys Ther. 1994 Nov. 74 (11):1027-33. [QxMD MEDLINE Link].

6. Vogel TR, Petroski GF, Kruse RL. Impact of amputation level and comorbidities on functional status of nursing home residents after lower extremity amputation. J Vasc Surg. 2014 May. 59 (5):1323-30.e1. [QxMD MEDLINE Link]. [Full Text].

7. Pollard J, Hamilton GA, Rush SM, Ford LA. Mortality and morbidity after transmetatarsal amputation: retrospective review of 101 cases. J Foot Ankle Surg. 2006 Mar-Apr. 45 (2):91-7. [QxMD MEDLINE Link].

8. Thomas SR, Perkins JM, Magee TR, Galland RB. Transmetatarsal amputation: an 8-year experience. Ann R Coll Surg Engl. 2001 May. 83 (3):164-6. [QxMD MEDLINE Link]. [Full Text].

9. Geroulakos G, May AR. Transmetatarsal amputation in patients with peripheral vascular disease. Eur J Vasc Surg. 1991 Dec. 5 (6):655-8. [QxMD MEDLINE Link].

10. Feinglass J, Pearce WH, Martin GJ, Gibbs J, Cowper D, Sorensen M, et al. Postoperative and late survival outcomes after major amputation: findings from the Department of Veterans Affairs National Surgical Quality Improvement Program. Surgery. 2001 Jul. 130 (1):21-9. [QxMD MEDLINE Link].

11. Elsherif M, Tawfick W, Canning P, Hynes N, Sultan S. Quality of time spent without symptoms of disease or toxicity of treatment for transmetatarsal amputation versus digital amputation in diabetic patients with digital gangrene. Vascular. 2018 Apr. 26 (2):142-150. [QxMD MEDLINE Link].

12. Tan MNA, Lo ZJ, Lee SH, Teo RM, Tan WLG, Chandrasekar S. Review of Transmetatarsal Amputations in the Management of Peripheral Arterial Disease in an Asian Population. Ann Vasc Dis. 2018 Jun 25. 11 (2):210-216. [QxMD MEDLINE Link]. [Full Text].

13. Adams BE, Edlinger JP, Ritterman Weintraub ML, Pollard JD. Three-Year Morbidity and Mortality Rates After Nontraumatic Transmetatarsal Amputation. J Foot Ankle Surg. 2018 Sep - Oct. 57 (5):967-971. [QxMD MEDLINE Link].

14. Boffeli TJ, Waverly BJ. Medial and Lateral Plantar Artery Angiosome Rotational Flaps for Transmetatarsal and Lisfranc Amputation in Patients With Compromised Plantar Tissue. J Foot Ankle Surg. 2016 Mar-Apr. 55 (2):351-61. [QxMD MEDLINE Link].

15. Lumley ES, Kwon JG, Kushida-Conteras BH, Brown E, Viste J, Aulia I, et al. Free Tissue Transfer after Open Transmetatarsal Amputation in Diabetic Patients. J Reconstr Microsurg. 2021 Mar 31. [QxMD MEDLINE Link].

16. Holloway JJ, Lauer K, Kansal N, Bongard F, Miller A. A Novel Approach to Limb Salvage: Healing Transmetatarsal Amputations without a Viable Plantar Flap. Ann Vasc Surg. 2021 Jan. 70:51-55. [QxMD MEDLINE Link].

17. Sage R, Pinzur MS, Cronin R, Preuss HF, Osterman H. Complications following midfoot amputation in neuropathic and dysvascular feet. J Am Podiatr Med Assoc. 1989 Jun. 79 (6):277-80. [QxMD MEDLINE Link].

18. Harris RC 3rd, Fang W. Transmetatarsal Amputation Outcomes When Utilized to Address Foot Gangrene and Infection: A Retrospective Chart Review. J Foot Ankle Surg. 2021 Mar-Apr. 60 (2):269-275. [QxMD MEDLINE Link].

19. Boffeli TJ, Pfannenstein RR, Thompson JC. Radiation therapy for recurrent heterotopic ossification prophylaxis after partial metatarsal amputation. J Foot Ankle Surg. 2015 May-Jun. 54 (3):345-9. [QxMD MEDLINE Link].

20. Boffeli TJ, Thompson JC, Waverly BJ, Pfannenstein RR, Mahoney KJ. Incidence and Clinical Significance of Heterotopic Ossification After Partial Ray Resection. J Foot Ankle Surg. 2016 Jul-Aug. 55 (4):714-9. [QxMD MEDLINE Link].

Palaniappan Lakshmanan, MBBS, MS, AFRCS, FRCS(Tr&Orth) Consultant Spinal Surgeon, Department of Trauma and Orthopaedics, Sunderland Royal Hospital, UK

Palaniappan Lakshmanan, MBBS, MS, AFRCS, FRCS(Tr&Orth) is a member of the following medical societies: British Orthopaedic Association, AOSpine

Disclosure: Nothing to disclose.

Sami Hassan, MBChB, MRCS Core Surgical Trainee, Department of Trauma and Orthopaedics, Nottingham University Hospitals, Queen's Medical Centre, UK

Disclosure: Nothing to disclose.

Neelam Khalid, MBBS, MSc Clinical Fellow, Department of Trauma and Orthopaedics, City Hospitals of Sunderland, UK

Disclosure: Nothing to disclose.

Mary L Windle, PharmD Adjunct Associate Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Nothing to disclose.

Erik D Schraga, MD Staff Physician, Department of Emergency Medicine, Mills-Peninsula Emergency Medical Associates

Disclosure: Nothing to disclose.

Kailash L Devalia, MBBS, DNB, MS, FRCS(Edin) Specialist Registrar, Department of Trauma and Orthopaedics, North Tyne General Hospital, UK

Disclosure: Nothing to disclose.

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