Place of transmetatarsal amputations: a 5-year experience and review of the literature
Hobson, M.I.; Stonebridge, P.A.; Clason, A.E.
Journal of the Royal College of Surgeons of Edinburgh 35(2): 113-115
1990
ISSN/ISBN: 0035-8835 PMID: 2355377 Document Number: 352975
A series of 30 patients who underwent transmetatarsal amputation over a 5-year period was analysed. The indications for amputation were gangrene, rest pain and ulceration. The mean age was 75 years and the male to female ratio was 3:2. A higher level of amputation was required in 50% of patients. Of a series of factors analysed for their influence upon outcome (age, diabetes, peripheral pulse status, pre-existing infection, smoking habits, previous digital amputation, prior sympathectomy and/or vascular reconstruction), none had any predictive value in terms of wound healing.