Habershaw G M, Gibbons G W, Rosenblum B I
Department of Surgery, Harvard Medical School, Boston, MA.
J Am Podiatr Med Assoc. 1993 Feb;83(2):79-81. doi: 10.7547/87507315-83-2-79.
In March 1949, McKittrick described the use of the transmetatarsal amputation for the diabetic foot, along with specific indications. Infection, ischemia, and neuropathic ulcerations of the toes and forefoot were all treated with this procedure. In the past 30 years, however, advances in the management of these problems have led to a decrease in the number of transmetatarsal amputations performed at the New England Deaconess Hospital. With these advances, the current approach to the transmetatarsal amputation has changed, leading to significant modifications in the basic indications for this procedure.
1949年3月，麦基特里克描述了经跖骨截肢术在糖尿病足治疗中的应用及具体适应症。该手术用于治疗足部感染、缺血以及脚趾和前足的神经性溃疡。然而，在过去30年里，这些问题治疗方法的进步使得新英格兰女执事医院实施的经跖骨截肢手术数量有所减少。随着这些进步，目前经跖骨截肢术的手术方式已经改变，该手术的基本适应症也有了显著变化。
