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Vascular and Endovascular Surgery
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Studies on the Survival of Transmetatarsal Amputation Stumps

Lawrence W. Friedmann

Department of Physical Medicine and Rehabilitation, Nassau County Medical Center, East Meadow, N.Y., Dept of Physical Medicine and Rehabilitation, Angiology, The Journal of Vascular Disease, SUNY-Stony Brook, New York

Patricia A. Padula

Podiatry and Biomechanics, Clinical Professor of Podiatric Medicine, N.Y. College of Podiatric Medicine

Jay M. Weiss

Barry Root

Michael Polchaninoff

Daniel Shapiro

Clinical Assistant Professor of Rehabilitation Medicine, SUNY-Stony Brook, New York

Through the use of electrodynog raphy the authors have quantified foot forces in the transmetatarsal am putee with respect to their location, severity, and duration. They have tried to relate this to the potential for foot breakdown. Their aim through electrodynography studies and through their questionnaire is to be gin to find those factors common to those who have not progressed to fur ther amputation.

This provides a beginning to the data collection and evaluation of an extremely difficult problem. There is still a great need for further work, and the authors are continuing to ex amine their patients for the other fac tors involved, without which their data only hint at both causation and treatment. A natural extension of these studies is also examining forces in other partial foot, below-knee, and above-knee amputees, and these are also planned as future projects.

Vascular and Endovascular Surgery, Vol. 23, No. 1, 34-42 (1989)
DOI: 10.1177/153857448902300106
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