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Use of Prostheses and Footwear in 110 Inner-City Partial-Foot Amputees

Ellen Sobel, DPM, PhD^*, Christopher J. Japour, DPM, MS, Renato J. Giorgini, DPM, Steven J. Levitz, DPM^§ and Hugh L. Richardson, DPM^||

^* Diplomate, American Board of Podiatric Orthopedics and Primary Podiatric Medicine; Associate Professor, Division of Orthopedics, New York College of Podiatric Medicine, 53 E 124th St, New York, NY 10035.
Diplomate, American Board of Podiatric Orthopedics; Attending Podiatrist, Department of Surgery, Brooklyn Veterans Affairs Medical Center (New York Harbor Health Care System), Brooklyn, NY.
Fellow, American College of Foot and Ankle Surgeons; Professor and Former Chairman, Division of Surgery, New York College of Podiatric Medicine, New York, NY; Podiatric Surgery and Residency Director, North General Hospital, New York, NY; private practice, Lindenhurst, NY.
^§ Professor, Division of Orthopedics, New York College of Podiatric Medicine, New York, NY.
^|| Surgical Fellow, North General Hospital, New York, NY.

Abstract

The number of partial-foot amputations performed is increasing, and many recommendations have been made regarding the use of prostheses and footwear designed to prevent higher-level amputations in this population. The present study investigated the use of prostheses and shoe inserts and the types of footwear worn by partial-foot amputees in the inner city to determine whether previous recommendations are being followed as well as whether new prosthetic styles are being used. The study surveyed 110 patients (73 men and 37 women) with a mean age of 58.6 years (range, 21 to 86 years) with partial-foot amputations of all levels. The results showed that about one-half of all patients wore a shoe-insert orthosis. Although 54% wore some form of special footwear to accommodate and protect the residual foot, no patient in this study wore a shoe with a rocker-bottom sole. Only one patient with a transmetatarsal amputation used a brace and only one patient in the entire study wore a modern cosmetic foot prosthesis. (J Am Podiatr Med Assoc 91(1): 34-49, 2001)

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