Minimum-incision metatarsal ray resection: an observational case series

The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons
Thomas S Roukis

Abstract

This report describes the results of 17 metatarsal ray resections performed through a minimal incision in 13 consecutive patients. Each patient underwent minimum-incision metatarsal ray resection for either definitive treatment or as the index incision and drainage procedure followed by transmetatarsal amputation. There were 10 male and 3 female patients with a mean age of 68.8 +/- 8.5 years (range, 59-83 years). Twelve patients had diabetes mellitus and 7 had critical limb ischemia. There were 11 right feet and 6 left feet involved, and 3 second, 3 third, 3 fourth, and 8 fifth minimum-incision metatarsal ray resections performed. Direct primary-incision closure was performed 7 times (1 with adjacent percutaneous metatarsal osteotomy), delayed primary closure was performed 4 times (1 with external fixation), and conversion to a transmetatarsal amputation was performed 2 times. Fourteen of 17 minimum-incision metatarsal ray resections were deemed successful. Two failures occurred when skin necrosis developed from excessive tension along the incision line requiring conversion to a transmetatarsal amputation, and the other occurred in a patient with unreconstructed critical limb ischemia who underwent multiple repeated incision an...Continue Reading

References

Dec 1, 1984·Clinical Orthopaedics and Related Research·M S PinzurP Schwaegler
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Nov 5, 1999·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·R GerP Scott
Jul 14, 2005·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Brent Bernstein, Laura Guerin
Nov 1, 2005·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Hamza Ozer, Ali Oznur
Aug 30, 2008·Clinics in Podiatric Medicine and Surgery·Ali Oznur, Thomas S Roukis

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Citations

May 25, 2012·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Troy J Boffeli, Kyle W Abben
Aug 3, 2013·The Bone & Joint Journal·N ShaikhA H N Robinson
Mar 23, 2018·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Andrea VeljkovicAlastair Younger

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