Hallux amputation Fig ab

Amputation of the great toe invariably results in biomech-anical dysfunction of the foot. The degree to which this occurs depends upon whether or not a portion of the 1st metatarsal has also been removed. The loss of propulsive function is not detrimental to neuropathic patients who already have an apropulsive gait. Of greater concern, however, are the following postoperative sequelae:

• Compensatory flexion contracture of the 2nd toe

• Ulceration at the tip of the 2nd toe

• Lesser metatarsalgia

• Pathologic fractures

• Ulceration beneath the 1st or 2nd metatarsal heads (Fig. 8.23).

These complications may eventually result in a more proximal amputation.

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  • Elias Kifle
    What is a hallux amputation?
    7 years ago

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