An Approach to Transmetatarsal Amputation to Encourage Immediate Weightbearing in Diabetic Patients.
J Foot Ankle Surg
; 56(3): 609-612, 2017.
Article
em En
| MEDLINE
| ID: mdl-28258947
ABSTRACT
Transmetatarsal amputation remains the standard treatment for the unsalvageable diabetic forefoot; however, this operation is often complicated by wound dehiscence, ulceration, and the need for additional surgery and tendon balancing. The technique described in the present report provides an uncomplicated suturing method for closure of a standard transmetatarsal amputation. A drill hole is created through the first, second, and fourth metatarsals, which facilitates added stability to the plantar flap of the residual metatarsals. The patients are encouraged to begin protected weightbearing as early as the first postoperative day. The security of the flap promotes immediate weightbearing, which could result in fewer postoperative complications of transmetatarsal amputations. Early weightbearing will not only encourage tendon rebalancing, but also could improve angiogenesis through capillary ingrowth.
Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Ossos do Metatarso
/
Suporte de Carga
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Pé Diabético
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Deambulação Precoce
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Amputação Cirúrgica
Limite:
Humans
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article