Foot function in diabetic patients after partial amputation

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

Research output: Contribution to journalArticle

63 Scopus citations

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

All Science Journal Classification (ASJC) codes

  • Surgery
  • Orthopedics and Sports Medicine

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    Garbalosa, J. C., Cavanagh, P. R., Wu, G., Ulbrecht, J. S., 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