title: Place of transmetatarsal amputations: a 5-year experience and review of the literature.
abstract: A series of 30 patients who underwent transmetatarsal amputation over a 5-year period was analysed. The indications for amputation were gangrene, rest pain and ulceration. The mean age was 75 years and the male to female ratio was 3:2. A higher level of amputation was required in 50% of patients. Of a series of factors analysed for their influence upon outcome (age, diabetes, peripheral pulse status, pre-existing infection, smoking habits, previous digital amputation, prior sympathectomy and/or vascular reconstruction), none had any predictive value in terms of wound healing.
authors.affiliation: Vascular Surgery Unit, Royal Infirmary of Edinburgh, UK.
authors.forename: M I
authors.initials: MI
authors.lastname: Hobson
authors.forename: P A
authors.initials: PA
authors.lastname: Stonebridge
authors.forename: A E
authors.initials: AE
authors.lastname: Clason
mesh_terms: D000368:Aged; D000671:Amputation, Surgical; D005260:Female; D006801:Humans; D008297:Male; D008684:Metatarsus / Q000601:surgery*; D014945:Wound Healing