CME OnDemand: 2022 AOFAS Annual Meeting-Transmetatarsal Amputation Results in Higher Frequency of Revision Surgery and Higher Ambulation Rates than Below- Knee Amputation

Transmetatarsal Amputation Results in Higher Frequency of Revision Surgery and Higher Ambulation Rates than Below- Knee Amputation

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Video Summary

In a research presentation, the speaker discusses their findings on transmitted tarsal amputations (TMAs) versus below knee amputations (BKAs). TMAs are technically simpler and result in less blood loss and preserved limb length, but have higher rates of revision surgery, prolonged wound healing, and other complications. The study compared the need for revision surgery between TMA and BKA patients, taking into account medical comorbidities. Data was collected from patients at a single academic center from 2013 to 2021. Results showed that TMAs had higher rates of revision amputation and need for re-operation, but also led to higher ambulation rates. Peripheral arterial disease was a risk factor for revision surgery and higher level amputation. The presentation concludes with these findings and thanks the audience.

Asset Subtitle

Angel Ordaz MD, Conner Trimm BS, Jason Pedowitz, MD, Ian M Foran MD

Keywords

transmitted tarsal amputations

below knee amputations

revision surgery

prolonged wound healing

complications