I am pleased to introduce the latest article, “A Guide To Transmetatarsal Amputations In Patients With Diabetes,” in our CE series. This series, brought to you by the North American Center for Continuing Medical Education (NACCME), consists of regular CE activities that qualify for one continuing education contact hour (.1 CEU). Readers will not be required to pay a processing fee for this course.
Transmetatarsal amputation is a viable method for long-term limb preservation for patients with diabetes. With this in mind, Christine Salonga, DPM, and Peter Blume, DPM, offer pertinent insights in preoperative assessment, a step-by-step guide to performing the procedure and informative keys to postoperative management to help facilitate optimal outcomes.
At the end of this article, you’ll find a 10-question exam. Please mark your responses on the enclosed postcard and return it to NACCME. This course will be posted on Podiatry Today’s Web site (www.podiatrytoday.com) roughly one month after the publication date. I hope this CE series contributes to your clinical skills.
Jeff A. Hall
INSTRUCTIONS: Physicians may receive one continuing education contact hour (.1 CEU) by reading the article on pg. 83 and successfully answering the questions on pg. 90. Use the enclosed card provided to submit your answers or log on to www.podiatrytoday.com and respond via fax to (610) 560-0502.
ACCREDITATION: NACCME is approved by the Council on Podiatric Medical Education as a sponsor of continuing education in podiatric medicine.
DESIGNATION: This activity is approved for 1 continuing education contact hour or .1 CEU.
DISCLOSURE POLICY: All faculty participating in Continuing Education programs sponsored by NACCME are expected to disclose to the audience any real or apparent conflicts of interest related to the content of their presentation.
DISCLOSURE STATEMENTS: Drs. Salonga and Blume have disclosed that they have no significant financial relationship with any organization that could be perceived as a real or apparent conflict of interest in the context of the subject of their presentation.
GRADING: Answers to the CE exam will be graded by NACCME. Within 60 days, you will be advised that you have passed or failed the exam. A score of 70 percent or above will comprise a passing grade. A certificate will be awarded to participants who successfully complete the exam.
TARGET AUDIENCE: Podiatrists
RELEASE DATE: July 2006
EXPIRATION DATE: July 31, 2007
LEARNING OBJECTIVES: At the conclusion of this activity, participants should be able to:
• evaluate patients preoperatively to assess their potential for post-amputation healing;
• discuss when revascularization may be beneficial for patients;
• describe how neuropathy and equinus can lead to ulcerations and abnormal pressure distribution;
• review key intraoperative principles with transmetatarsal amputations;
• discuss the use of primary closure with a plantar flap; and
• discuss essential post-op considerations with transmetatarsal amputations.
Sponsored by the North American Center for Continuing Medical Education.