Abstract
Ulceration or reulceration is a common complication following partial or total fifth
ray amputations. The primary aim of this study was to evaluate the incidence of reulceration
following partial fifth ray amputations. This was a multicenter review of 117 consecutive
limbs that underwent partial fifth ray amputations at the University of Pittsburgh
Medical Center and Wake Forest Baptist Medical Centers. Procedures were performed
at various levels along the fifth metatarsal. Incidence of postoperative ulceration
was evaluated on the ipsilateral foot. We hypothesized there would be an association
between location of resection and development of reulceration. Seventy-one of 117
patients (60.7%) experienced repeat ulceration following a partial fifth ray amputation.
Median follow-up time was 19 months. There was no statistical difference based on
location of amputation (proximal, middle, distal, isolated base) with regards to reulceration
(p = .166), further amputation (p = .271), transmetatarsal amputation (p = .160), or below knee amputation (p = .769). There was statistical significance in the follow up time between study sites
(p = .013), fifth ray amputation reoperation rate between study sites (p = .001), and reulceration rates between study sites (p = .017). Partial fifth ray amputations can be a good initial salvage procedure to
clear infection and prolong bipedal ambulatory status. The results of the present
study put forward that there is not an association between location of amputations
of the fifth ray and development of reulceration, transfer lesions or more proximal
amputations.
Level of Clinical Evidence
Keywords
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Article info
Publication history
Published online: August 20, 2021
Publication stage
In Press Corrected ProofFootnotes
Financial Disclosure: None reported.
Conflict of Interest: None reported.
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© 2021 by the American College of Foot and Ankle Surgeons. All rights reserved.
