SPECIAL FOCUS: AmputationTransmetatarsal AmputationsCalvert, Erik MD, FRCSC1; Penner, Murray MD, FRCSC2; Younger, Alastair MB, ChB, FRCSC2; Wing, Kevin MD, FRCSC2Author Information 1Department of Orthopedics, University of British Columbia Vancouver British Columbia, Canada 2BC Foot and Ankle Clinic and Division of Lower Limb Reconstruction and Oncology Department of Orthopedics University of British Columbia British Columbia, Canada Address correspondence and reprint requests to Erik Calvert, MD, FRCSC, 590-1144 Burrard St, Vancouver BC, V6Z 2Z5. E-mail: [email protected]. Techniques in Foot & Ankle Surgery: September 2007 - Volume 6 - Issue 3 - p 140-146 doi: 10.1097/BTF.0b013e31814a6080 Buy Metrics Abstract Transmetatarsal amputation is a viable alternative to below-knee amputation in patients with deep forefoot infection, necrosis, or unreconstructible trauma. This treatment offers the patient maintenance of a full length limb, normal shoe wear, and more efficient ambulation when compared with a more proximal amputation. Careful evaluation of the patient, preoperative planning, and surgical technique will aid in minimizing complications. The technique is described, with importance placed on soft tissue care. Complications are expected in the diabetic and vasculopathy populations; techniques to help deal with them are described. © 2007 Lippincott Williams & Wilkins, Inc.