Table of Contents
What is a staged amputation?
An alternative for these patients is staged amputation (SA), where the first procedure is the guillotine in order to drain the infection, and the second a definitive, more proximal surgery, after infection control.
What is the 1st Ray?
The first ray is a single foot segment consisting of the first metatarsal and first cuneiform bones. As body weight moves forward, the mechanics of supination stabilize the medial arch, preparing the foot for the propulsive phase of gait.
What is the first ray of the foot?
The first ray is the segment of the foot composed of the first metatarsal and first cuneiform bones. The location of this joint is important as it intersects the transverse and medial longitudinal arches. This segment serves as a critical element in the structural integrity of the foot.
Can you walk with Transmetatarsal amputation?
You may need to wear a splint on your leg or special shoes to support your stump after surgery. The goal of TMA is to save enough of your foot to allow you to walk without a limp. You may need other procedures or treatments before, during, or after TMA to treat your damaged foot.
What are the types of amputations?
They must all work together to help you maximize your functional mobility and have a positive outcome after a lower extremity amputation.
- Above-Knee Amputation. Your physical therapist can help you after an amputation.
- Below-Knee Amputation.
- Hemipelvic Amputation.
- Toe Amputation.
- Partial Foot Amputation.
- Disarticulation.
What kind of amputation is a partial first ray?
A partial first ray amputation, an amputation at any level of the hallux or first metatarsal, is a common limb salvage procedure in many of these diabetic patients. This article reviews the mechanical impact of the first ray, and the success rates of resections at various levels throughout the first ray.
How old is a diabetic with a ray amputation?
A 72-year-old male patient with type 2 diabetes diagnosed at the age of 56 years and Figure 3.30 X-ray image of the foot illustrated in Figures 3.28 and 3.29.
How long After arthrodesis is the first ray amputation?
Figure 3.31 Photograph of the foot shown in Figures 3.28-3.30 3 months after arthrodesis of the first metatarsophalangeal joint and second ray amputation. Note the absence of significant callus formation
When to perform a transmetatarsal or ray amputation?
Transmetatarsal and ray amputations require meticulous patient selection and attention to surgical technique when performed in patients with peripheral vascular disease. Transmetatarsal amputation is performed for gangrene, trauma, or rarely, tumors limited to the distal part of the foot.