Journal of Foot and Ankle Surgery
Volume 49, Issue 1 , Pages 101-105, January 2010

Preoperative Doppler Assessment for Transmetatarsal Amputation

  • Christopher E. Attinger, MD

      Affiliations

    • 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.
    • ,
  • Andrew J. Meyr, DPM

      Affiliations

    • Assistant Professor, Department of Podiatric Surgery, Temple University School of Podiatric Medicine, Philadelphia, PA
    • Corresponding Author InformationAddress correspondence to: Andrew J. Meyr, DPM, TUSPM Department of Surgery, 8th at Race St, Philadelphia, PA 19107.
    • ,
  • Sarah Fitzgerald, DPM

      Affiliations

    • Resident, Washington Hospital Center Podiatric Surgical Residency Program, Washington, D.C.
    • ,
  • John S. Steinberg, DPM

      Affiliations

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

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.

Keywords: angiosome, vascular arch, foot surgery, vascular assessment

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 Financial Disclosure: None reported.

 Conflict of Interest: None reported.

PII: S1067-2516(09)00307-X

doi:10.1053/j.jfas.2009.07.022

Journal of Foot and Ankle Surgery
Volume 49, Issue 1 , Pages 101-105, January 2010

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