Transmetatarsal Amputation:
Indications – trauma, infection, gangrene in toes or nonviable toes (diabetes and vascular disease are most common reasons). Not indicated if patient non-ambulatory.
Reported healing rates of 50 –70%
Strength of posterior muscle group can cause a progressive equinus.
More easily accommodated in footwear than other types of amputation. Need steel shank in shoe to facilitate gait. Molded padding can be used to fill distal empty area in shoe.
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