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Oper Orthop Traumatol. 2016 Oct;28(5):345-51. doi: 10.1007/s00064-016-0451-y. Epub 2016 Jun 3.

[Amputation and exarticulation of the lesser toes].

[Article in German]

Author information

1
Zentrum für Ambulante Rehabilitation, Regensburg, Deutschland.
2
Abteilung für Orthopädie und Unfallchirurgie, Robert-Bosch-Krankenhaus, Auerbachstr. 110, Stuttgart, Deutschland.
3
Abteilung für Orthopädie und Unfallchirurgie, Robert-Bosch-Krankenhaus, Auerbachstr. 110, Stuttgart, Deutschland. bernd.kinner@rbk.de.

Abstract

OBJECTIVE:

Amputations and exarticulations of the toes may be necessary due to several reasons. The goal is to remove necrosis or infection prior to its spread to the midfoot region. From a functional or cosmetic point of view, amputation/exarticulation of a single toe plays no major role. However, this can be different with exarticulation of several toes.

INDICATIONS:

Necrosis, trauma, infection, tumor, deformity.

CONTRAINDICATIONS:

Conditions where amputation/exarticulation of a toe is insufficient, e. g., in progressing peripheral arterial disease.

SURGICAL TECHNIQUE:

The toe can either be amputated through the distal phalanx or exarticulated in the metatarsophalangeal joint.

POSTOPERATIVE MANAGEMENT:

Orthopedic shoes or orthotic devices are rarely necessary when a single toe is amputated/exarticulated. However, concomitant deformities of the foot have to be thoroughly addressed. If more than one toe is amputated, silicone spacers may be necessary to prevent the remaining toes from deviating.

RESULTS:

Amputations and exarticulations of the toes are frequent and the procedure is technically simple. However, the complication rate is high due to typical indications making amputation necessary.

KEYWORDS:

Amputation; Complications; Exarticulation; Toe

PMID:
27259483
DOI:
10.1007/s00064-016-0451-y
[Indexed for MEDLINE]

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