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Journal of the American Podiatric Medical Association, Vol 83, Issue 2 79-81, Copyright © 1993 by American Podiatric Medical Association

HISTORICAL ARTICLE

A historical look at the transmetatarsal amputation and its changing indications

GM Habershaw, GW Gibbons and BI Rosenblum
Department of Surgery, Harvard Medical School, Boston, MA.

In March 1949, McKittrick described the use of the transmetatarsal amputation for the diabetic foot, along with specific indications. Infection, ischemia, and neuropathic ulcerations of the toes and forefoot were all treated with this procedure. In the past 30 years, however, advances in the management of these problems have led to a decrease in the number of transmetatarsal amputations performed at the New England Deaconess Hospital. With these advances, the current approach to the transmetatarsal amputation has changed, leading to significant modifications in the basic indications for this procedure.


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E. Sobel, C. J. Japour, R. J. Giorgini, S. J. Levitz, and H. L. Richardson
Use of Prostheses and Footwear in 110 Inner-City Partial-Foot Amputees
J Am Podiatr Med Assoc, January 1, 2001; 91(1): 34 - 49.
[Abstract] [Full Text] [PDF]


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Copyright © 1993 by the American Podiatric Medical Association.