Partial foot amputations in the combat wounded.

Kevin L. Kirk, Evan M. Jones, Benjamin Kyle Potter, Patrick M. Osborn, James R. Ficke

Research output: Contribution to journalArticlepeer-review

Abstract

Throughout the current conflicts in Afghanistan and Iraq, there have been more than 1100 combat-related major limb amputations, with approximately 80% involving the lower extremity. There is, however, a paucity of data regarding the number of amputations below the level of the ankle. Although not as common, partial foot amputations, in the appropriate setting, offer a way to improve function and decrease energy consumption when compared to proximal amputations. Sound surgical tenets are prerequisite for successful outcomes when performing a distal amputation. Maintaining a robust soft tissue envelope allowing for tension-free wound closure is paramount in determining the feasibility of a partial foot amputation. Careful consideration of tendon balancing is also of utmost importance in avoiding common complications of contracture and deformity. Partial foot amputations present a viable surgical option for successful outcomes and maximization of patient function in the combat injured when certain criteria are met.

Original languageEnglish (US)
Pages (from-to)19-22
Number of pages4
JournalJournal of surgical orthopaedic advances
Volume20
Issue number1
StatePublished - Mar 1 2011
Externally publishedYes

ASJC Scopus subject areas

  • Medicine(all)

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