Subtotal pedal amputations - Biomechanical and intraoperative considerations

Proper treatment for the compromised diabetic foot often requires surgical correction and subtotal pedal amputation. This article discusses various le vels of amputation of the human foot, including digital, ray, transmetatars al, midfoot, and Syme amputations. Surgical techniques and biomechanical co nsiderations are presented in order to assist the surgeon in planning for t he most functional outcome of the patient. A review of the literature and t he experiences of the authors are presented.