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  1. Orthotics can help restore stability, maintain support, and protect function of the residual limb. The authors discuss orthotic and prosthetic management of patients who have undergone toe amputations; ray amputations; transmetatarsal, Lisfranc-, or Chopart-level amputations.

  2. Amputations of the great toe should be performed for only the strictest and most carefully considered indications. Although amputation of only the distal part of a toe is technically possible, there is little functional advantage to having half or two-thirds of a toe, even the great toe.

  3. 26 Φεβ 2019 · There are currently several different types of devices available to improve ambulation after partial foot amputation. A total contact in-shoe orthotic with a metatarsal pad molded to the contour of the patient’s residual foot is used to better distribute compressive forces along the plantar surface.

  4. In some cases, toe fillers and orthotics may not be sufficient, and you’ll need a full custom shoe to give you the balance and stability you require. Helping You on the Road to Recovery. Losing one or more toes is not an easy adjustment—physically or emotionally.

  5. A partial-foot insert is a rigid footplate for a standard shoe with raised areas to fill in space where your amputation occurred. Custom shoes are made to provide the same function and additional support for your balance and motion. Second, you need custom-moulded foot prosthesis.

  6. A variety of devices are available for aftercare of the partially amputated foot. These include soft, accommodative, in-shoe orthoses, prosthetic fillers, and ankle-foot orthoses.

  7. For a fifth metatarsal amputation, the shaft should be transected obliquely with an inferolateral-facing facet, leaving the uninvolved half to three-quarters of the shaft to preserve forefoot width and retain the insertion of the peroneus brevis.

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