Outcomes of transmetatarsal and midfoot amputations

Of the three levels of amputation discussed in this chapter, the transmetatarsal amputation is the most successful with respect to functional outcomes, patient satisfaction and long-term results. Transmetatarsal amputation preserves foot function, is cosmetically acceptable, does not require a prosthesis and enables fitting with commercially available footwear. Amputations performed at the tarsometatarsal and mid-tarsal joint levels frequently result in deformity and difficulty fitting shoes. Limb salvage can be achieved, with functional outcomes, by the motivated patient and knowledgeable surgeon with the use of these procedures.

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