Detaillierte Beitrags-Information
| Beitragstitel | Outcome of ray resection as the definitive treatment in forefoot infection or ischemia - a cohort study |
|---|---|
| Beitragscode | P078 |
| Autoren | |
| Präsentationsform | Poster |
| Themengebiete |
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| Abstract |
Introduction: Ray resection represents transmetatarsal amputation of selected rays, while the remaining rays are left in place. It is frequently performed in case of infection or ischemia. However, literature concerning its efficacy and outcomes as a definitive treatment is scarce. Methods: We reviewed our cohort of patients with transmetatarsal ray resections with a mean follow-up of 36.3 months. Rates of re-ulcerations, transfer ulcers and re-amputations were determined. Statistical analysis to detect risk factors for revision surgery was conducted. Results: Among 185 patients, 38.4% had revision surgery within a mean of 1.4 years (SD 2.6 years, range 2 days to 12.9 years). 11.9% had major amputations and 26.5% minor amputations. 5.9% had same ray re-ulceration, 21.6% had transfer ulcers, and 1.1% had both. Transfer ulcers were mainly localized in adjacent rays. In group comparison, the occurrence of a postoperative ulcer was significantly associated with revision surgery (p < .01). Conclusion: Transmetatarsal ray resection is a reasonable treatment option in case of forefoot ischemia or infection to prevent major amputation but fails in 11.9% of the patients. Transfer ulcers are common in adjacent rays. New occurrence of postoperative ulcer was the only variable associated with further revisions making ulcer prevention paramount. |