Relationships between measures of function, strength and walking speed in patients with diabetes and transmetatarsal amputation

1997 ◽  
Vol 11 (1) ◽  
pp. 60-67 ◽  
Author(s):  
Gretchen B Salsich ◽  
Michael J Mueller
Keyword(s):  
Walking Speed ◽  
Patients With Diabetes ◽  
Transmetatarsal Amputation

Timing of peak plantar pressure during the stance phase of walking. A study of patients with diabetes mellitus and transmetatarsal amputation

2000 ◽  
Vol 90 (1) ◽  
pp. 18-23 ◽  
Author(s):  
VE Kelly ◽  
MJ Mueller ◽  
DR Sinacore
Keyword(s):  
Diabetes Mellitus ◽  
Stance Phase ◽  
Plantar Pressures ◽  
Skin Breakdown ◽  
Patients With Diabetes ◽  
Peak Plantar Pressure ◽  
Transmetatarsal Amputation ◽  
Footwear Design ◽  
Neuropathic Foot ◽  
Improved Methods

High plantar pressures contribute to skin breakdown in patients with diabetes mellitus and peripheral neuropathy. The primary purpose of this study was to determine the point during the stance phase of walking that corresponds with forefoot peak plantar pressures. Results indicate that peak plantar pressures occurred at 80% +/- 5% of the stance phase of gait in subjects with diabetes and transmetatarsal amputation, as well as in control subjects. Improved methods of footwear design or walking strategies proposed to patients should focus on the demands of the foot during the late stance phase of walking in order to increase available weightbearing area or to decrease forces, which will minimize plantar pressures and reduce trauma to the neuropathic foot.

Surgical revision of the problematic transmetatarsal amputation

1993 ◽  
Vol 83 (2) ◽  
pp. 91-95 ◽  
Author(s):  
BI Rosenblum ◽  
DV Freeman
Keyword(s):  
Diabetes Mellitus ◽  
Surgical Intervention ◽  
Skin Grafting ◽  
Surgical Revision ◽  
Local Resection ◽  
Conservative Care ◽  
Patients With Diabetes ◽  
Transmetatarsal Amputation

Recurrent ulcerations may develop following transmetatarsal amputation in patients with diabetes mellitus. In many cases, these ulcerations require surgical intervention to achieve healing, especially in situations where conservative care has not been effective. These procedures range from the local resection of bone to skin grafting and flap techniques to successfully heal the wound. The ultimate goal of any surgical intervention is to prevent a more proximal amputation.

Risk Factors for Wound Complications Following Transmetatarsal Amputation in Patients With Diabetes

2019 ◽  
Vol 243 ◽  
pp. 509-514 ◽  
Author(s):  
Rami S. Kantar ◽  
Allyson R. Alfonso ◽  
William J. Rifkin ◽  
Elie P. Ramly ◽  
Sonali Sharma ◽  
...  
Keyword(s):  
Risk Factors ◽  
Wound Complications ◽  
Patients With Diabetes ◽  
Transmetatarsal Amputation

scholarly journals Transmetatarsal Amputation: A Case Series and Review of the Literature

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Ryan McCallum ◽  
Mark Tagoe
Keyword(s):  
Limb Salvage ◽  
Case Series ◽  
Effective Procedure ◽  
University Hospital ◽  
Salvage Procedure ◽  
Review Of The Literature ◽  
Foot Ulceration ◽  
Patients With Diabetes ◽  
Podiatric Surgery ◽  
Transmetatarsal Amputation

Foot ulceration is a major cause of morbidity amongst patients with diabetes. In severe cases of ulceration, osteomyelitis and amputation can ensue. A distinct lack of agreement exists on the most appropriate level of amputation in cases of severe foot ulceration/infection to provide predictable healing rates. This paper provides an overview of the transmetatarsal amputation (TMA) as a limb salvage procedure and is written with the perspective and experiences of the Department of Podiatric Surgery at West Middlesex University Hospital (WMUH). We have reflected on the cases of 11 patients (12 feet) and have found the TMA to be an effective procedure in the management of cases of severe forefoot ulceration and infection.

TRANSMETATARSAL AMPUTATION FOR INFECTION OR GANGRENE IN PATIENTS WITH DIABETES MELLITUS

1949 ◽  
Vol 130 (4) ◽  
pp. 826-842 ◽  
Author(s):  
Leland S. McKittrick ◽  
John B. McKittrick ◽  
Thomas S. Risley
Keyword(s):  
Diabetes Mellitus ◽  
Patients With Diabetes ◽  
Transmetatarsal Amputation

Intramuscular Nerve and Neuromuscular Junction Alteration In Extraocular Muscles of Diabetic Mice

1985 ◽  
Vol 43 ◽  
pp. 682-683
Author(s):  
Bruce R. Pachter
Keyword(s):  
Diabetes Mellitus ◽  
Peripheral Nerves ◽  
Sudden Onset ◽  
Extraocular Muscles ◽  
Diabetic Patients ◽  
Oculomotor Palsy ◽  
Third Nerve Palsy ◽  
Patients With Diabetes ◽  
Intramuscular Nerve ◽  
Oculomotor Nerves

Diabetes mellitus is one of the commonest causes of neuropathy. Diabetic neuropathy is a heterogeneous group of neuropathic disorders to which patients with diabetes mellitus are susceptible; more than one kind of neuropathy can frequently occur in the same individual. Abnormalities are also known to occur in nearly every anatomic subdivision of the eye in diabetic patients. Oculomotor palsy appears to be common in diabetes mellitus for their occurrence in isolation to suggest diabetes. Nerves to the external ocular muscles are most commonly affected, particularly the oculomotor or third cranial nerve. The third nerve palsy of diabetes is characteristic, being of sudden onset, accompanied by orbital and retro-orbital pain, often associated with complete involvement of the external ocular muscles innervated by the nerve. While the human and experimental animal literature is replete with studies on the peripheral nerves in diabetes mellitus, there is but a paucity of reported studies dealing with the oculomotor nerves and their associated extraocular muscles (EOMs).

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