A patient with a diabetic foot may have one or more amputations of the lower extremity, depending on the severity of the disease.
Categories:
(1) distal/minor: stump allows for tibial weight-bearing
(2) proximal/major
Distal amputations are associated with lower morbidity and mortality.
Distal amputations - forefoot:
(1) toe
(2) ray (toe and metatarsal)
(3) transmetatarsal
Distal amputations - midfoot:
(1) Lisfranc (proximal metatarsal)
(2) Chopart (talonavicular and calcaneocuboid joints)
Distal amputations - hindfoot:
(1) Syme
(2) Boyd
(3) Pirogoff
(4) modified Pirogoff
Proximal amputations:
(1) below the knee (trans-tibial)
(2) Gritti-Stokes (through the supracondylar femur with the patella used as an end cap)
(3) above the knee (transfemoral)
(4) hip disarticulation
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Specialty: Surgery, orthopedic, Endocrinology
