Reconstructive Amputations of the Foot

Christopher Green; Danny Plyler; Suhail Masadeh; Christopher Bibbo

doi:10.1016/j.cpm.2020.08.002

Reconstructive Amputations of the Foot

Clin Podiatr Med Surg. 2021 Jan;38(1):17-29. doi: 10.1016/j.cpm.2020.08.002. Epub 2020 Oct 29.

Authors

Christopher Green¹, Danny Plyler², Suhail Masadeh³, Christopher Bibbo⁴

Affiliations

¹ Southwest Integris Medical Center, 13100 North Western Avenue, Suite 200, Oklahoma City, OK 73114, USA. Electronic address: fasoklahoma@gmail.com.
² Cleveland Clinic Foundation/Surgical Hospital of Oklahoma, 100 Southeast 59th Street, Oklahoma City, OK 73129, USA.
³ University of Cincinnati Medical Center, Residency University of Cincinnati Medical Center, Medical Center, Cincinnati, OH, USA; Division of Podiatric Surgery, Department of Surgery, University of Cincinnati Medical Center, 231 Albert Sabin Way, ML 0513, Cincinnati, OH 45267, USA.
⁴ Foot & Ankle Service, Plastic Reconstructive and Microsurgery, Orthopaedic Trauma, Musculoskeletal Infections, Limb Salvage, International Limb Lengthening Center at the Rubin Institute for Advanced Orthopaedics, Sinai Hospital of Baltimore, 2401 West Belvedere Avenue, Baltimore, MD 21215, USA.

PMID: 33220742
DOI: 10.1016/j.cpm.2020.08.002

Abstract

In the diabetic and peripheral vascular disease population there is a high risk of further amputation following a primary amputation. Amputation surgery is often approached negating the biomechanics of the lower extremity leading to complications or additional surgery. Implementing appropriate tendon balancing of stump and applying orthoplastic techniques will improve outcomes. This article introduces the basic techniques to a wider audience of foot and ankle surgeons. Specifically, this article is intended to be a descriptive guide for the use of tendon balancing and intrinsic muscle advancements in the various levels of foot amputations.

Keywords: Amputation; Intrinsic muscle; Lower limb reconstruction; Muscle advancement; Orthoplastics; Tendon balancing.

Publication types

Review

MeSH terms

Amputation, Surgical / methods*
Foot / surgery*
Hallux / surgery
Humans
Metatarsal Bones / surgery
Muscle, Skeletal / surgery
Surgical Flaps
Tendon Transfer