Minor Amputations
Clinical Cases

The wound healed completely by secondary intention without further surgery. By preserving the fifth metatarsal head, the lateral column of the foot and normal load distribution during walking were maintained, allowing the patient to retain a stable, functional gait while successfully treating the ischemic infection with the smallest possible amputation.

The wound gradually filled with healthy granulation tissue and healed completely by secondary intention without further bone resection. Preservation of the first metatarsal head maintained the first ray and helped preserve forefoot biomechanics, reducing gait disturbance while achieving definitive control of the ischemic lesion.

Complete wound healing was achieved, preserving a functional residual limb suitable for weight bearing. The patient was fitted with a custom prosthetic device and specialized therapeutic footwear, restoring the ability to walk independently. This case demonstrates that successful revascularization combined with a Chopart amputation can preserve limb function and provide an alternative to major amputation in selected patients.

The surgical wound healed uneventfully with excellent stump formation. The patient was subsequently fitted with a custom prosthetic device and specialized therapeutic footwear, enabling safe ambulation and preserving functional independence. This case illustrates how timely revascularization combined with a well-planned Chopart amputation can provide durable limb salvage and restore mobility in patients with diabetic foot disease.

The surgical wound healed well without major complications. The patient was subsequently fitted with a custom forefoot prosthetic filler and specialized therapeutic footwear, allowing comfortable ambulation and restoration of daily activities. This case demonstrates how successful revascularization combined with a transmetatarsal amputation can preserve limb function while avoiding a major lower-extremity amputation.

The wound healed completely by secondary intention within three months, resulting in a durable, plantigrade foot without recurrent infection or tissue loss. By limiting the amputation to a single lateral ray and preserving the remaining forefoot, normal weight distribution was largely maintained, allowing the patient to regain stable ambulation while maximizing long-term limb function.

The wound healed completely within five months, preserving a stable, plantigrade foot and avoiding the major amputation initially recommended. This case illustrates how timely revascularization combined with carefully planned, limited foot amputation can transform a limb considered unsalvageable into a functional extremity, preserving both ambulation and quality of life.

The wound healed completely by secondary intention within three months, preserving the adjacent rays and maintaining forefoot stability. This case demonstrates that successful revascularization followed by a limited, well-planned ray amputation can eradicate ischemic disease while preserving foot function, avoiding a more extensive amputation, and allowing the patient to return to stable ambulation.

The wound healed completely by secondary intention within 5.5 months, resulting in a durable, stable stump without recurrent infection. This case demonstrates that major tissue loss does not necessarily require a major limb amputation. When blood flow is restored before surgery and non-viable tissue is removed while preserving the remaining foot, even extensive ischemic diabetic foot lesions can heal successfully and maintain functional ambulation.

Complete healing was achieved by secondary intention within 3 months, resulting in a stable, infection-free lateral foot with preservation of overall foot function. This case highlights that revascularization followed by a limited, well-planned ray amputation can eradicate ischemic disease while preserving the architecture of the foot, avoiding more proximal amputations and allowing patients to regain functional ambulation.