Long-Term Outcomes of Hallux Amputations at Various Anatomic Levels

Hallux amputations have long been performed for the definitive treatment of hallux osteomyelitis resulting from ulcerations. These amputations have been performed at various levels of the hallux. The aim of this study is to assess the long-term outcomes in patients with hallux amputations performed...

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Bibliographic Details
Published in:The Journal of foot and ankle surgery 2024-09, Vol.63 (5), p.580-583
Main Authors: Mishra, Rahul, Dudeja, Amish, Ceja-Solorio, Juan T., Buczkowski, Kevin, Giurini, John
Format: Article
Language:English
Subjects:
diabetic foot surgery
diabetic foot ulcerations
hallux amputations
osteomyelitis
recurrent ulcerations
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Summary:Hallux amputations have long been performed for the definitive treatment of hallux osteomyelitis resulting from ulcerations. These amputations have been performed at various levels of the hallux. The aim of this study is to assess the long-term outcomes in patients with hallux amputations performed at these various levels and to determine whether there is an ideal anatomic level that would limit post-operative complications and need for revisional surgery. An Institutional Review Board (IRB)-approved retrospective chart review of 148 feet with hallux amputations performed at various levels from July 1, 2013 to July 16, 2020 at an academic medical center was conducted. A 2-year minimum follow up was required for inclusion in the study. Incidence of re-ulceration, need for further amputation, healing of index procedure, and revascularization status were evaluated. Statistical analysis utilizing chi square analysis was performed to calculate p-values where
ISSN:1067-2516
1542-2224
1542-2224
DOI:10.1053/j.jfas.2024.05.016