Common late complications of longitudinal forefoot amputations in neuropathic foot treatment.

Journal of Wound Care
Rodrigo Sousa MacedoTúlio Diniz Fernandes

Abstract

To describe and quantify the complications arising in consecutive neuropathic patients undergoing partial longitudinal amputations of the foot. A retrospective study was conducted with data collected from the medical records of patients monitored at the Insensitive Foot Clinic of the Foot and Ankle Group of our institution who underwent partial amputation of foot rays from 2000 to 2016. A total of 28 patients met the inclusion criteria, with a total of 31 amputated/partially amputated feet. Of these, 18 (58.1%) feet were amputated/partially amputated due to diabetes, seven (22.6%) due to leprosy, two (6.5%) due to alcoholic neuropathy, two (6.5%) secondary to traumatic peripheral nerve injury, and two (6.5%) due to other causes. Fifth ray amputation was the most frequent type (n=12). The cause of amputation was the presence of an infected ulcer in 93.6% of the samples. At a mean follow-up time of 60 months, 13 (41.9%) feet required new amputations-five (38.5%) transtibial, five (38.5%) transmetatarsal, two (15.4%) of the toes, and one (7.7%) at Chopart's joint. Patients with diabetes had a 50.0% reamputation rate. Patients who initially underwent amputation of the fifth ray had a 58.3% reamputation rate. Partial longitudinal am...Continue Reading

References

Feb 1, 1978·The Journal of Bone and Joint Surgery. British Volume·U Larsson, G B Andersson
Jan 1, 1996·Foot & Ankle International·J C GarbalosaJ H Campbell
Oct 6, 2005·Annals of Vascular Surgery·Patrick A StoneDennis F Bandyk
Mar 4, 2006·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Jason PollardLawrence A Ford
May 7, 2008·Foot and Ankle Clinics·Arash Aminian, Bruce J Sangeorzan
Dec 23, 2008·Diabetes Research and Clinical Practice·Yuki IzumiLawrence A Lavery
Feb 1, 2012·Diabetes/metabolism Research and Reviews·Christopher E Attinger, Benjamin J Brown
Jul 20, 2012·Journal of Aging Research·Ryan McCallum, Mark Tagoe
Jul 23, 2013·Diabetic Foot & Ankle·Aziz Nather, Keng Lin Wong
Sep 3, 2013·The Medical Clinics of North America·Andrew J M Boulton
Oct 24, 2015·Epidemiology and Health·Mohammad KoganiKourosh Holakouie-Naieni

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Wound Repair and Regeneration : Official Publication of the Wound Healing Society [and] the European Tissue Repair Society
David J MargolisJesse A Berlin
Clinical Orthopaedics and Related Research
M D SantiR B Chambers
Annals of the Academy of Medicine, Singapore
Keng Lin WongChin Tat Lim
Journal of the American Podiatric Medical Association
D G ArmstrongW H Van Houtum
© 2021 Meta ULC. All rights reserved