Journal of Foot and Ankle Surgery
Volume 49, Issue 1 , Pages 52-54 , January 2010

Minimum-incision Metatarsal Ray Resection: An Observational Case Series

  • Thomas S. Roukis, DPM, PhD, FACFAS

      Affiliations

    • Chief, Limb Preservation Service, Vascular/Endovascular Surgery Service, Department of Surgery, Director Limb Preservation Complex Lower Extremity Surgery and Research Fellowship, Madigan Army Medical Center, Tacoma, WA
    • Corresponding Author InformationAddress correspondence to: Thomas S. Roukis, DPM, PhD, FACFAS, Chief, Limb Preservation Service, Vascular/Endovascular Surgery Service, Department of Surgery, Director Limb Preservation Complex Lower Extremity Surgery and Research Fellowship, Madigan Army Medical Center, 9040-A Fitzsimmons Dr, MCHJ-SV, Tacoma, WA 98431.

References 

  1. Shuttleworth R. Amputation of gangrenous toes: effect of sepsis, blood supply, and débridement on healing rates. S Afr Med J. 1983;63(25):973–975
  2. Pinzur MS, Sage R, Schaegler P. Ray resection in the dysvascular foot. Clin Orthop. 1984;191:232–234
  3. Ger R, Angus G, Scott P. Transmetatarsal amputation of the toe: an analytic study of ischemic complications. Clin Anat. 1999;12(6):407–411
  4. Nehler MR, Whitehall TA, Bowers SP, Jones DN, Hiatt WR, Rutherford RB, et al. Intermediate-term outcome of primary digit amputations in patients with diabetes mellitus who have forefoot sepsis requiring hospitalization and presumed adequate circulatory status. J Vasc Surg. 1999;30(3):509–517
  5. Armstrong DG, Lavery LA, Harkless LB, van Houtum WH. Amputation and reamputation of the diabetic foot. J Am Podiatr Med Assoc. 1997;87(6):255–259
  6. Zgonis T, Oznur A, Roukis TS. A novel technique for closing difficult diabetic cleft foot wounds with skin grafting and a ring type external fixator. Op Tech Orthop. 2006;16:38–43
  7. Hansen ST. Amputation techniques. In:  Hurley R,  Seigafuse SL,  Marino-Vasquez D editor. Functional Reconstruction of the Foot and Ankle. Philadelphia: Lippincott Williams & Wilkins; 2000;p. 274–278
  8. Strauss MB, Bryant BJ, Hart JD. Forefoot narrowing with external fixation for problem cleft wounds. Foot Ankle Int. 2002;23(5):433–439
  9. Bernstein B, Guerin L. The use of mini external fixation in central forefoot amputations. J Foot Ankle Surg. 2005;44(4):307–310
  10. Bibbo C. External fixator assisted immediate wound closure. Tech Foot Ankle Surg. 2006;5(3):144–149
  11. Öznur A, Özer H. Ray amputation with limited incision. Foot Ankle Int. 2006;27(5):382
  12. Öznur A, Roukis TS. Minimum incision ray resection. Clin Podiatr Med Surg. 2008;25(4):609–622

 Disclaimer: The opinions or assertions contained herein are the private view of the author and are not to be construed as official or reflecting the views of the Department of the Army or the Department of Defense.

 Financial Disclosure: None reported.

 Conflict of Interest: None reported.

PII: S1067-2516(09)00306-8

doi: 10.1053/j.jfas.2009.07.023

Journal of Foot and Ankle Surgery
Volume 49, Issue 1 , Pages 52-54 , January 2010

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