Understanding The Biomechanics Of The Transmetatarsal Amputation

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Gabriel V. Gambardella, DPM, and Peter A. Blume, DPM, FACFAS

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29. Maluf KS, Mueller MJ, Strube ME, et al. Tendon Achilles lengthening for the treatment of neuropathic ulcers causes a temporary reduction in forefoot pressure associated with changes in plantar flexor power rather than ankle motion during gait. J Biomech. 2004;37(6):897-906.
30. La Fontaine J, Brown D, Adams M, VanPelt M. New and recurrent ulcerations after percutaneous Achilles tendon lengthening in transmetatarsal amputation. J Foot Ankle Surg. 2008;47(3):225-9.
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35. Schweinberger MH, Roukis TS. Balancing of the transmetatarsal amputation with peroneus brevis to peroneus longus tendon transfer. J Foot Ankle Surg. 2007;46(6): 510-514.
36. Roukis TS. Flexor hallucis longus and extensor digitorum longus tendon transfers for balancing the foot following transmetatarsal amputation. J Foot Ankle Surg. 2009;48(3):398-401.
37. Schweinberger MH, Roukis TS. Intramedullary Screw Fixation for Balancing of the Dysvascular Foot Following Transmetatarsal Amputation. J Foot Ankle Surg. 2008 Nov-Dec;47(6):594-597.
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40. Spaulding SE, Chen T, Chou LS. Selection of an above or below-ankle orthosis for individuals with neuropathy and transmetatarsal amputation: a pilot study. Prosthet Orthot Int. 2012;36(2):217-24.

   For further reading, see “Current Considerations In Performing Transmetatarsal Amputations” in the February 2011 issue of Podiatry Today, “How To Determine The Appropriate Level Of Amputation” in the January 2005 issue or “A Guide To Transmetatarsal Amputations In Patients With Diabetes” in the July 2006 issue.

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