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Journal of the American Podiatric Medical Association, Vol 80, Issue 3 120-126, Copyright © 1990 by American Podiatric Medical Association

JOURNAL ARTICLE

Digital amputations in neuropathic feet

B Greteman and S Dale
Department of Podiatric Surgery, Veterans Administration Medical Center, Montain Home, TN.

A retrospective study was performed on 26 patients who had undergone 27 digital amputations. All of the patients in the study had marked neuropathy. Sixty-five percent of the feet developed new ulcerations following initial hallux amputations, with 53% of the ulcerations occurring at distal digital sites. Fifty-three percent of the patients who had undergone hallux amputations required further amputations secondary to new ulcerations. In contrast, only 10% of the feet with initial lesser digit amputations developed new ulcerations. The authors discuss the biomechanics involved and the possible therapy for preventing these ulcerations and amputations.


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V. L. Nube, L. Molyneaux, and D. K. Yue
Biomechanical risk factors associated with neuropathic ulceration of the hallux in people with diabetes mellitus.
J Am Podiatr Med Assoc, May 1, 2006; 96(3): 189 - 197.
[Abstract] [Full Text] [PDF]


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Copyright © 1990 by the American Podiatric Medical Association.