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Volume 49, Issue 1, Pages 101-105 (January 2010)


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Preoperative Doppler Assessment for Transmetatarsal Amputation

Christopher E. Attinger, MD1, Andrew J. Meyr, DPM2Corresponding Author Informationemail address, Sarah Fitzgerald, DPM3, John S. Steinberg, DPM4

Abstract 

A thorough preoperative vascular evaluation should be performed before the initiation of any lower extremity surgical intervention, but particularly in situations of diabetic foot reconstruction with compromised blood flow. The intended emphasis of this brief report is to provide the foot and ankle surgeon with an appreciation for the clinical vascular anatomy of the transmetatarsal amputation through a handheld Doppler examination.

1 Professor, Department of Plastic Surgery, Georgetown University School of Medicine, Washington, D.C.; Medical Director, The Center for Wound Healing, Georgetown University Hospital, Washington, D.C.

2 Assistant Professor, Department of Podiatric Surgery, Temple University School of Podiatric Medicine, Philadelphia, PA

3 Resident, Washington Hospital Center Podiatric Surgical Residency Program, Washington, D.C.

4 Assistant Professor, Department of Plastic Surgery, Georgetown University School of Medicine, Washington, D.C.

Corresponding Author InformationAddress correspondence to: Andrew J. Meyr, DPM, TUSPM Department of Surgery, 8th at Race St, Philadelphia, PA 19107.

 Financial Disclosure: None reported.

 Conflict of Interest: None reported.

PII: S1067-2516(09)00307-X

doi:10.1053/j.jfas.2009.07.022


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