Biomechanics of ambulation following partial foot amputation: A prosthetic perspective

Gary M. Berke*, John Rheinstein, John W. Michael, Gerald E. Stark

*Corresponding author for this work

Research output: Contribution to journalReview article

3 Scopus citations

Abstract

From a clinical perspective, interventions following partial foot amputation (PFA) can be conveniently divided into high-profile devices that extend proximally onto the tibia and low-profile designs that terminate inferior to the malleoli. However, not all proximal amputations require a high-profile design and not all distal levels can be managed with low-profile alternatives. It appears from the evidence reviewed by Dillon and colleagues that ankle power generation during level ground walking is not significantly compromised in those levels of PFA that retain the metatarsal heads. Although the best available evidence suggests that high-profile devices that restrict ankle dorsiflexion are the only prosthetic option capable of partially restoring the missing anterior lever arm, patients frequently reject such bulky designs. Selection of the best configuration for a specific patient with PFA remains a clinical judgment, informed by experience, training, and the best available scientific evidence.

Original languageEnglish (US)
JournalJournal of Prosthetics and Orthotics
Volume19
Issue numberProceedings 8
DOIs
StatePublished - Jul 1 2007

Keywords

  • Chopart amputation
  • Evidence-based practice
  • Lisfranc amputation
  • Lower limb amputation
  • Orthoses
  • Partial foot
  • Prostheses
  • Toe amputation
  • Transmetatarsal amputation

ASJC Scopus subject areas

  • Biomedical Engineering
  • Orthopedics and Sports Medicine
  • Rehabilitation

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