[Minor amputations: a maxi task : Part 2: From transmetatarsal amputation to hindfoot amputation].
The definitive aim of a minor amputation is limited resection with retention of feet and legs resulting in a completely loadable extremity, in contrast to the lower leg stump. A shift in the amputation level in the sense of a shortening is inevitably accompanied by a reduction in the stand area, an increase in axial pressure and a disruption of muscle equilibrium in the extent of movement of the rest of the foot. This knowledge forms the central issue for further treatment of minor amputations in addition to the subtle treatment of the skin of the sole for coverage of a tension-free tip of the stump. Advantageous are longitudinal partial amputations of the forefoot and midfoot.
Zentrum für Gefäßmedizin und Wundbehandlung, Stiftungsklinikum Mittelrhein, Koblenz, Deutschland.
R
R
Matamoros
G
G
Riepe
P
P
Drees
D000671:Amputation, Surgical / Q000379:methods*; D000672:Amputation Stumps / Q000601:surgery; D001157:Arterial Occlusive Diseases / Q000601:surgery*; D001186:Artificial Limbs; D002111:Calcaneus / Q000098:blood supply* / Q000601:surgery*; D017719:Diabetic Foot / Q000601:surgery*; D005528:Foot / Q000098:blood supply*; D005545:Forefoot, Human / Q000098:blood supply* / Q000601:surgery*; D008682:Metatarsal Bones / Q000601:surgery*; D010020:Osteonecrosis / Q000601:surgery; D013524:Surgical Flaps; D013536:Suture Techniques