Foot function in diabetic patients after partial amputation

Juan Carlos Garbalosa, Peter R. Cavanagh, Ge Wu, Jan Ulbrecht, Mary B. Becker, Ian J. Alexander, James H. Campbell

Research output: Contribution to journalArticle

62 Citations (Scopus)

Abstract

The function of partially amputated feet in 10 patients with diabetes mellitus was studied. First-step bilateral barefoot plantar pressure distribution and three-dimensional kinematic data were collected using a Novel EMED platform and three video cameras. Analysis of the plantar pressure data revealed a significantly greater mean peak plantar pressure in the feet with transmetatarsal amputation (TMA) than in the intact feet of the same patients. The heels of the amputated feet had significantly lower mean peak plantar pressures than all the forefoot regions. A significantly greater maximum dynamic dorsiflexion range of motion was seen in the intact compared with the TMA feet. However, no difference was noted in the static dorsiflexion range of motion between the two feet and there was, therefore, a trend for the TMA feet to use less of the available range of motion. Given the altered kinematics and elevated plantar pressures noted in this study, careful postsurgical footwear management of feet with TMA would appear to be essential if ulceration is to be prevented.

Original languageEnglish (US)
Pages (from-to)43-48
Number of pages6
JournalFoot and Ankle International
Volume17
Issue number1
DOIs
StatePublished - Jan 1 1996

Fingerprint

Amputation
Foot
Pressure
Articular Range of Motion
Biomechanical Phenomena
Heel
Diabetes Mellitus

All Science Journal Classification (ASJC) codes

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Garbalosa, J. C., Cavanagh, P. R., Wu, G., Ulbrecht, J., Becker, M. B., Alexander, I. J., & Campbell, J. H. (1996). Foot function in diabetic patients after partial amputation. Foot and Ankle International, 17(1), 43-48. https://doi.org/10.1177/107110079601700110
Garbalosa, Juan Carlos ; Cavanagh, Peter R. ; Wu, Ge ; Ulbrecht, Jan ; Becker, Mary B. ; Alexander, Ian J. ; Campbell, James H. / Foot function in diabetic patients after partial amputation. In: Foot and Ankle International. 1996 ; Vol. 17, No. 1. pp. 43-48.
@article{2f0c6a61433b4c3b8140086e2e4d4362,
title = "Foot function in diabetic patients after partial amputation",
abstract = "The function of partially amputated feet in 10 patients with diabetes mellitus was studied. First-step bilateral barefoot plantar pressure distribution and three-dimensional kinematic data were collected using a Novel EMED platform and three video cameras. Analysis of the plantar pressure data revealed a significantly greater mean peak plantar pressure in the feet with transmetatarsal amputation (TMA) than in the intact feet of the same patients. The heels of the amputated feet had significantly lower mean peak plantar pressures than all the forefoot regions. A significantly greater maximum dynamic dorsiflexion range of motion was seen in the intact compared with the TMA feet. However, no difference was noted in the static dorsiflexion range of motion between the two feet and there was, therefore, a trend for the TMA feet to use less of the available range of motion. Given the altered kinematics and elevated plantar pressures noted in this study, careful postsurgical footwear management of feet with TMA would appear to be essential if ulceration is to be prevented.",
author = "Garbalosa, {Juan Carlos} and Cavanagh, {Peter R.} and Ge Wu and Jan Ulbrecht and Becker, {Mary B.} and Alexander, {Ian J.} and Campbell, {James H.}",
year = "1996",
month = "1",
day = "1",
doi = "10.1177/107110079601700110",
language = "English (US)",
volume = "17",
pages = "43--48",
journal = "Foot and Ankle International",
issn = "1071-1007",
publisher = "AOFAS - American Orthopaedic Foot and Ankle Society",
number = "1",

}

Garbalosa, JC, Cavanagh, PR, Wu, G, Ulbrecht, J, Becker, MB, Alexander, IJ & Campbell, JH 1996, 'Foot function in diabetic patients after partial amputation', Foot and Ankle International, vol. 17, no. 1, pp. 43-48. https://doi.org/10.1177/107110079601700110

Foot function in diabetic patients after partial amputation. / Garbalosa, Juan Carlos; Cavanagh, Peter R.; Wu, Ge; Ulbrecht, Jan; Becker, Mary B.; Alexander, Ian J.; Campbell, James H.

In: Foot and Ankle International, Vol. 17, No. 1, 01.01.1996, p. 43-48.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Foot function in diabetic patients after partial amputation

AU - Garbalosa, Juan Carlos

AU - Cavanagh, Peter R.

AU - Wu, Ge

AU - Ulbrecht, Jan

AU - Becker, Mary B.

AU - Alexander, Ian J.

AU - Campbell, James H.

PY - 1996/1/1

Y1 - 1996/1/1

N2 - The function of partially amputated feet in 10 patients with diabetes mellitus was studied. First-step bilateral barefoot plantar pressure distribution and three-dimensional kinematic data were collected using a Novel EMED platform and three video cameras. Analysis of the plantar pressure data revealed a significantly greater mean peak plantar pressure in the feet with transmetatarsal amputation (TMA) than in the intact feet of the same patients. The heels of the amputated feet had significantly lower mean peak plantar pressures than all the forefoot regions. A significantly greater maximum dynamic dorsiflexion range of motion was seen in the intact compared with the TMA feet. However, no difference was noted in the static dorsiflexion range of motion between the two feet and there was, therefore, a trend for the TMA feet to use less of the available range of motion. Given the altered kinematics and elevated plantar pressures noted in this study, careful postsurgical footwear management of feet with TMA would appear to be essential if ulceration is to be prevented.

AB - The function of partially amputated feet in 10 patients with diabetes mellitus was studied. First-step bilateral barefoot plantar pressure distribution and three-dimensional kinematic data were collected using a Novel EMED platform and three video cameras. Analysis of the plantar pressure data revealed a significantly greater mean peak plantar pressure in the feet with transmetatarsal amputation (TMA) than in the intact feet of the same patients. The heels of the amputated feet had significantly lower mean peak plantar pressures than all the forefoot regions. A significantly greater maximum dynamic dorsiflexion range of motion was seen in the intact compared with the TMA feet. However, no difference was noted in the static dorsiflexion range of motion between the two feet and there was, therefore, a trend for the TMA feet to use less of the available range of motion. Given the altered kinematics and elevated plantar pressures noted in this study, careful postsurgical footwear management of feet with TMA would appear to be essential if ulceration is to be prevented.

UR - http://www.scopus.com/inward/record.url?scp=0030066521&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0030066521&partnerID=8YFLogxK

U2 - 10.1177/107110079601700110

DO - 10.1177/107110079601700110

M3 - Article

VL - 17

SP - 43

EP - 48

JO - Foot and Ankle International

JF - Foot and Ankle International

SN - 1071-1007

IS - 1

ER -

Garbalosa JC, Cavanagh PR, Wu G, Ulbrecht J, Becker MB, Alexander IJ et al. Foot function in diabetic patients after partial amputation. Foot and Ankle International. 1996 Jan 1;17(1):43-48. https://doi.org/10.1177/107110079601700110