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Journal of Aging Research
Volume 2012, Article ID 797218, 6 pages
http://dx.doi.org/10.1155/2012/797218
Review Article

Transmetatarsal Amputation: A Case Series and Review of the Literature

Department of Podiatric Surgery, West Middlesex University Hospital, London TW7 6AF, UK

Received 28 March 2012; Accepted 16 May 2012

Academic Editor: Frank L. Bowling

Copyright © 2012 Ryan McCallum and Mark Tagoe. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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.