Partial foot amputations are often also considered as prostheses. They can be categorized as Prostheses because they carry elements of prosthetic challenges as well as orthotic challenges. There are three ways to treat a partial foot, patient. If the clinical team has to choose among three options, a clinic team must duly consider the entire alternative and choose according the need of a patient.
French surgeons Jacques Lisfranc (1790-1847) credited with developing the ankle-sparing hindfoot and midfoot amputations. The technique was developed to treat a forefoot gangrene that was designed to disarticulate the forefoot from the midfoot. Later, it was in the effort to cure the disturbing hazardousness of the metatarsal amputation that led to the development of chop art amputation. Francois Chopart developed the amputation that got named after him, which was usually performed to prevent the spread of forefoot gangrene. His apprentice, Lafitteau, elaborated the procedural aspects while writing in a 1792 article. Amputating through the hindfoot-midfoot junction downsized the number of post-operative deaths occurring due to infection by 50 percent in that pre-antisepsis era, as compared with amputating through the forefoot bones.
From a biomechanical standpoint, …show more content…
Biomechanical aspects includes various factors such as protection being provided to residual limb, the weight bearing forces being left upon remaining skin, loading on the foot remnant, the comfort for the patient, appearance and the stride, activities they wish to perform. The different types range from elephant boot, the custom made “short shoe” to a high top shoe. In prosthesis a supermalleor is a silicon device that can be used to achieve a soft forefoot. However, all the discussed devices have their