scholarly journals Remarks on partial amputation of the foot

1835 ◽  
Vol 8 (2) ◽  
pp. 292-298
Author(s):  
Francis Rynd
Keyword(s):  

2021 ◽  
Vol 30 (6) ◽  
pp. 498-503
Author(s):  
Rodrigo Sousa Macedo ◽  
Lucas Sousa Macedo ◽  
Marcos Hideyo Sakaki ◽  
Rafael Barban Sposeto ◽  
Rafael Trevisan Ortiz ◽  
...  

Objective: To describe and quantify the complications arising in consecutive neuropathic patients undergoing partial longitudinal amputations of the foot. Method: A retrospective study was conducted with data collected from the medical records of patients monitored at the Insensitive Foot Clinic of the Foot and Ankle Group of our institution who underwent partial amputation of foot rays from 2000 to 2016. Results: A total of 28 patients met the inclusion criteria, with a total of 31 amputated/partially amputated feet. Of these, 18 (58.1%) feet were amputated/partially amputated due to diabetes, seven (22.6%) due to leprosy, two (6.5%) due to alcoholic neuropathy, two (6.5%) secondary to traumatic peripheral nerve injury, and two (6.5%) due to other causes. Fifth ray amputation was the most frequent type (n=12). The cause of amputation was the presence of an infected ulcer in 93.6% of the samples. At a mean follow-up time of 60 months, 13 (41.9%) feet required new amputations—five (38.5%) transtibial, five (38.5%) transmetatarsal, two (15.4%) of the toes, and one (7.7%) at Chopart's joint. Patients with diabetes had a 50.0% reamputation rate. Patients who initially underwent amputation of the fifth ray had a 58.3% reamputation rate. Conclusion: Partial longitudinal amputation of the foot in neuropathic patients exhibited a high reoperation rate, especially in patients with diabetes or in patients with initial amputation of the peripheral rays. Declaration of interest: The authors have no conflicts of interest.



PEDIATRICS ◽  
1996 ◽  
Vol 97 (6) ◽  
pp. 906-907 ◽  
Author(s):  
Bruce S. Strimling

Although no numerical data are available, the most common techniques for performing newborn circumcision in the United States involve the use of the Plastibell, the Gomco clamp, and the Mogen clamp, likely in that order. The Mogen clamp (see Fig 1 and 2) is the least familiar to most pediatricians. It has a number of advantages when compared with the other techniques: 1. the one size of the Mogen fits all; 2. it is the most rapid; 3. the Mogen instrument allows full visualization of exactly how much prepuce to remove. In Mogen circumcision however, the glans is not visualized before removal of the prepuce.





Author(s):  
Peter Hoskin

Chapter 8d discusses carcinoma of the penis, which is typically a squamous carcinoma arising on the penile shaft or glands in an uncircumcised patient. Management may be by primary surgery, either total amputation or partial amputation with reconstruction, or primary radiotherapy. Primary radiotherapy is indicated for those patients with T1 and T2 tumours <4 cm in diameter, particularly in those unfit for surgery, those with locally advanced disease and fixed inguinal lymph nodes, and for patients in whom surgical treatment may require total amputation and where they choose to have organ preservation by radiotherapy as an alternative. No randomized trial comparison is available to give accurate figures for the relative efficacy of either treatment. Brachytherapy is an alternative means of delivering high-dose radiotherapy to the penis and may be considered where there is local expertise for this instead of external beam treatment.





1997 ◽  
Vol 80 (6) ◽  
pp. 958-958 ◽  
Author(s):  
A.D. HOLLOWOOD ◽  
G.N. SIBLEY
Keyword(s):  


The Lancet ◽  
1909 ◽  
Vol 173 (4463) ◽  
pp. 761-762
Author(s):  
LeonardC. Blackstone
Keyword(s):  


1989 ◽  
Vol 79 (10) ◽  
pp. 505-510
Author(s):  
WS Joseph

By following a systematic approach to the patient history, physical examination, and laboratory analysis in cases of infections, rapid and accurate therapeutic intervention becomes possible. This action can prevent possibly devastating infectious complications, ranging from partial amputation to death. The current litigious climate dictates thorough evaluation and documentation of all infectious diseases of the lower extremity.



1995 ◽  
Vol 85 (6) ◽  
pp. 338-339 ◽  
Author(s):  
SF Boc ◽  
JD Martone

A case study has been presented where C. jeikeium was isolated as the causative bacterium of an osteomyelitis of the fifth metatarsal. Partial amputation, local wound care, frequent and aggressive debridement, and appropriate antibiotics were all used with apparent success. The lack of complete patient follow-up prohibits the authors from declaring the infection cured; however, all signs of infection were absent immediately prior to discharge. The authors believe this to be the first reported case of Corynebacterium species as the bacterial isolate in confirmed osteomyelitis.



2020 ◽  
Vol 9 (2) ◽  
pp. 7-10
Author(s):  
Sunny Chaudhary ◽  
Shivakumar A Bali ◽  
Arvind Singh ◽  
R K Siddharth

Fillet flap is one of the options in the treatment of diabetic non-healing ulcers. The advantages of the fillet flap include the absence of donor site morbidity, excellent durability and preventing the need for more proximal amputation. A 56-year-old farmer presented to the out-patient department with complaints of a non-healing ulcer on the sole of the right foot for the past 7 months which was managed conservatively. A fifth ray partial amputation and a rotational flap of the redundant fifth finger for wound coverage were done. The wound healing was uneventful and the sutures were removed after two weeks. At the latest follow-up of 2 years, the patient was able to walk independently without pain and without any functional limitations. This case report describes the surgical technique of the lateral lesser toe fillet flap for wound closure on the plantar aspect of foot as an alternative to secondary healing or more proximal amputations.



Sign in / Sign up

Export Citation Format

Share Document