This paper is only available as a PDF. To read, Please Download here.
Abstract
Among the 67 patients who had transmetatarsal amputation for neuropathy or infection
(Group I) there were only 5 late failures requiring reamputation. Twenty-two of this
group are known to be dead of causes not related to this surgery, and 29 are known
to be well and using the foot—many of them well beyond the 5-year period.
The arterial insufficiency group numbered 366, were older, and stayed longer in the
hospital than Group I. Approximately one-third of these failed eventually. The incidence
of failure was more closely related to the evaluation of the collateral circulation
by the venous filling time and by other means than to the presence or absence of a
popliteal pulse. Of course, only a few had pedal pulses. Sixty-one per cent of those
who lived for 3 years had healed stumps at the end of that period, and 50 per cent
of those who lived 5 years were similarly fortunate. The majority of failures occurred
immediately postoperatively.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to SurgeryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- The Circulatory Disturbances of the Extremities.in: W. B. Saunders Co, Philadelphia, Pa1924: 163
- Transmetatarsal Amputation for Infection or Gangrene in Patients With Diabetes Mellitus.Ann. Surg. 1949; 130: 826-842
Article info
Footnotes
☆Read at the tenth annual meeting of the Society for Vascular Surgery, Chicago, Ill., June 10, 1956.
Identification
Copyright
© 1957 Published by Elsevier Inc.
