The Narrowed Forefoot at 1 Year: An Advanced Approach for Wound Closure After Central Ray Amputations

Nicholas J. Bevilacqua, Lee C. Rogers, Michael P. DellaCorte, David G. Armstrong

Research output: Contribution to journalReview article

5 Scopus citations

Abstract

Central ray resections often result in a biomechanically unsound forefoot often accompanied by a cleft wound that is difficult to heal. Narrowing the forefoot enables the surgeon to close the plantar defect primarily, foregoing prolonged wound care and lowering the risk for postoperative complications. The authors present a technique of narrowing the forefoot using a small light-weight external fixation device that allows for immediate wound closure without adjacent metatarsal osteotomies. Four patients were treated with this technique, and all four healed in a timely fashion and resumed their previous lifestyle without skin breakdown. The forefoot narrowing technique results in a stable plantigrade forefoot in individuals at high risk for diabetes-related lower extremity reulceration and amputation.

Original languageEnglish (US)
Pages (from-to)127-133
Number of pages7
JournalClinics in Podiatric Medicine and Surgery
Volume25
Issue number1
DOIs
StatePublished - Jan 1 2008

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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