Studies on the Survival of Transmetatarsal Amputation Stumps

Friedmann, Lawrence W.; Padula, Patricia A.; Weiss, Jay M.; Root, Barry; Polchaninoff, Michael; Shapiro, Daniel D.

doi:10.1177/153857448902300106

Cited by 3 publications

(3 citation statements)

References 9 publications

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“…The mean age of the adult participants with partial foot amputation ranged from 26 to 75.5 years, and 77.5% were men. Four studies did not report age,34 37 39 40 and seven did not report sex 19 30 32 36 39–43…”

Section: Resultsmentioning

confidence: 99%

“…Reasons for amputation included diabetes (n=10),26–29 39 41 44–49 finger or thumb reconstruction (n=5),33 37 38 40 50 trauma (n=4),30–32 51–53 peripheral vascular disease (n=3),39 42 43 tumour (n=1),54 rheumatoid arthritis (n=1),35 congenital and childhood-acquired amputation (n=1)36 and frostbite (n=1) 34…”

Section: Resultsmentioning

confidence: 99%

“…In people with TMT amputation, the metatarsal heads are amputated, resulting in the absence of the forefoot and a shortened foot and reduced foot lever. TMT amputation was addressed in 13 studies 26–32 35 36 39 41–43 46–48 53. The sample size ranged from 5 to 27 patients with TMT amputation, and the follow-up duration ranged from 6 months to 13.7 years.…”

Section: Resultsmentioning

confidence: 99%

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Association between the level of partial foot amputation and gait: a scoping review with implications for the minimum impairment criteria for wheelchair tennis

et al. 2022

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ObjectiveThis scoping review examines how different levels and types of partial foot amputation affect gait and explores how these findings may affect the minimal impairment criteria for wheelchair tennis.MethodsFour databases (PubMed, Embase, CINAHL and SPORTDiscus) were systematically searched in February 2021 for terms related to partial foot amputation and ambulation. The search was updated in February 2022. All study designs investigating gait-related outcomes in individuals with partial foot amputation were included and independently screened by two reviewers based on Arksey and O’Malley’s methodological framework and reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews.ResultsTwenty-nine publications with data from 252 participants with partial foot amputation in 25 studies were analysed. Toe amputations were associated with minor gait abnormalities, and great toe amputations caused loss of push-off in a forward and lateral direction. Metatarsophalangeal amputations were associated with loss of stability and decreased gait speed. Ray amputations were associated with decreased gait speed and reduced lower extremity range of motion. Transmetatarsal amputations and more proximal amputations were associated with abnormal gait, substantial loss of power generation across the ankle and impaired mobility.ConclusionsPartial foot amputation was associated with various gait changes, depending on the type of amputation. Different levels and types of foot amputation are likely to affect tennis performance. We recommend including first ray, transmetatarsal, Chopart and Lisfranc amputations in the minimum impairment criteria, excluding toe amputations (digits two to five), and we are unsure whether to include or exclude great toe, ray (two to five) and metatarsophalangeal amputations.Trial registrationThe protocol of this scoping review was previously registered at the Open Science Framework Registry (https://osf.io/8gh9y) and published.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Association between the level of partial foot amputation and gait: a scoping review with implications for the minimum impairment criteria for wheelchair tennis

et al. 2022

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An Approach to Transmetatarsal Amputation to Encourage Immediate Weightbearing in Diabetic Patients

Canales

Heurich

Mandela

et al. 2017

The Journal of Foot and Ankle Surgery

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Biomechanics of Ambulation After Partial Foot Amputation: A Systematic Literature Review

Dillon

Fatone

Hodge

2007

JPO Journal of Prosthetics and Orthotics

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The purpose of this systematic review was to establish what is known about gait and prosthetic/orthotic intervention in persons with partial foot amputation (PFA) and to identify what needs to be known to optimize gait and prosthetic/orthotic intervention. A systematic search of the literature identified 437 citations, with 28 publications selected for review based on inclusion criteria. Studies analyzing the gait of PFA were generally published in the last two decades in a myriad of journals spanning many disciplines. Publications that met the inclusion criteria were predominantly classified as case-control or cross-sectional studies and were reviewed based on various aspects of the biomechanics of gait, including temporospatial, ground reaction force (GRF), center of pressure (CoP) excursion, kinematics, kinetics, plantar pressure, electromyography, and energy expenditure. Studies reporting results for each variable were described, methodological issues identified and discussed, and the results summarized. The quality of the evidence was then rated as high, moderate, low, or insufficient for a number of outcome statements based on the various aspects of the biomechanics of gait. Overall, there was a high level of evidence that PFA generally affects temporospatial, GRF, ankle kinetics, and plantar pressures during gait, but there was less confidence in the evidence regarding more detailed statements about exactly how these aspects of gait are affected by PFA. This is reflective of the small and heterogenous populations included in the reviewed literature. Because the studies were largely observational, there is insufficient evidence regarding the efficacy of specific prosthetic and orthotic interventions, although generally there was low to moderate evidence that prosthetic and orthotic interventions affect ankle kinematics and moments and may moderate CoP progression. There remains the need to further our understanding of the biomechanics of PFA gait and establish hypotheses regarding prosthetic and orthotic requirements for improved ambulation/function and protection of the residuum. (J Prosthet Orthot. 2007;Proceedings:P2-P61.)

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Studies on the Survival of Transmetatarsal Amputation Stumps

Cited by 3 publications

References 9 publications

Association between the level of partial foot amputation and gait: a scoping review with implications for the minimum impairment criteria for wheelchair tennis

Association between the level of partial foot amputation and gait: a scoping review with implications for the minimum impairment criteria for wheelchair tennis

An Approach to Transmetatarsal Amputation to Encourage Immediate Weightbearing in Diabetic Patients

Biomechanics of Ambulation After Partial Foot Amputation: A Systematic Literature Review

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