Article ID Journal Published Year Pages File Type
2713299 The Foot 2009 4 Pages PDF
Abstract

Considerable disagreement exists whether trans-metatarsal amputations are indicated in persons with diabetes. A previous study reported that statistically the success rate of Syme's amputation in diabetic patients over 65 years of age resulted in a very poor results. The purpose of this study was to investigate the results of trans-metatarsal amputations, in patients with diabetes and to seek markers which could shed light upon the advantages/disadvantages of this procedure.The records of 46 patients covering a 10-year period (1996–2006) were used as a database.Twelve needed higher amputation level and another 10 needed a wound revision. All the patients that maintained the original amputation level walk without a need for a prosthesis and kept their previous abode.TMA in diabetic patients, although at a high risk for an extrasurgical procedure, once successful, the patient will regain his previous lifestyle.

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Health Sciences Medicine and Dentistry Orthopedics, Sports Medicine and Rehabilitation
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