0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Invited Critique |

The Elusive Search for Predictors of Healing Following Transmetatarsal Amputation:  Comment on “Predictors of Healing and Functional Outcome Following Transmetatarsal Amputations”

Brian G. DeRubertis, MD
Arch Surg. 2011;146(9):1009-1010. doi:10.1001/archsurg.2011.246.
Text Size: A A A
Published online

Extract

The role of the surgeon engaged in the treatment of patients with vascular disorders has less to do with eradication of disease and more to do with maintaining or improving quality of life for his or her patients. To that end, the goal of any limb-salvage surgery is to preserve preoperative ambulatory status. Multiple studies have demonstrated ambulation rates of less than 50% following below-knee amputation. On the contrary, a patient with a healed forefoot amputation has a high likelihood of ambulation because of the preserved mechanics of normal ambulation and the lack of need for a prosthetic. In this well-written article by Landry and colleagues,1 the group retrospectively analyzes their experience with 62 transmetatarsal amputations (TMAs) during a 6-year period, and their results validate the importance of the TMA because almost 75% of patients with healed TMA achieved ambulatory status. In addition, although not specifically addressed in the article, the time to ambulation in patients with successful TMA is generally a fraction of the time typically required for a patient with a below-knee amputation to complete the rehabilitation required to walk with a prosthetic.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles
Jobs
brightcove.createExperiences();