Αποτελέσματα Αναζήτησης
2 Απρ 2024 · Steps common to all toe amputations. Incision lines are marked on the skin as appropriate for the planned amputation (see the images below). For a partial toe amputation, a plantar-based...
- Toe Amputation
Toe amputation is a common procedure performed by a wide...
- Toe Amputation
The most commonly employed levels of amputation are the phalangeal and transmetatarsal, each of which can be single or multiple, and are sometimes performed in combination. Less common are amputations performed through the midfoot (Chopart and Lisfranc), and hindfoot (Syme) (Fig. 1).
A circumferential incision is ideally made at least 0.5 toe-diameter distal to the disarticulation site to ensure sufficient soft tissue for tension-free closure. Tension-free closure may be difficult to achieve with distal injuries because of the nail or the lack of viable soft tissue.
29 Σεπ 2023 · The toe amputation procedure begins with a fish-mouth incision at the level of the interphalangeal joint creating dorsal and plantar skin flaps. Free the soft tissues of the head of the more proximal phalanx bone and use a sagittal saw to resect the head of the phalanx bone.
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.
When the most distal skin bleeds within 3 minutes after release of the tourniquet, there is an 80% to 85% chance for successful healing of the amputation incision. If bleeding is prolonged beyond 3 minutes, the next higher level should be tested.
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.
