{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T10:22:30Z","timestamp":1783506150544,"version":"3.55.0"},"reference-count":8,"publisher":"MDPI AG","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Am Podiatr Med Assoc"],"published-print":{"date-parts":[[2012,9]]},"abstract":"\n Background:<\/jats:title>\n Diabetic foot infections tend to lead to amputation. Partial first-ray resections are used to help salvage the foot and maintain bipedal ambulation. Losing the first metatarsophalangeal joint has biomechanical consequences that lead to further foot deformities and result in more proximal amputations of the ipsilateral limb, such as a transmetatarsal amputation.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n We reviewed 48 patients (32 male and 16 female; mean age = 62.44) who underwent 50 partial first-ray resections between April 1, 2003, and July 31, 2009. These partial first-ray resections were done at various levels of the first metatarsal. We hypothesize that partial first-ray resections that require further bone resection will lead to poor biomechanics that can result in further amputation.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n We found that out of 50 partial first-ray resections, 24 cases required further surgical intervention, 12 of which were a transmetatarsal amputation (TMA) (mean time between partial first-ray resection and TMA = 282.08 days). Forty-eight percent of patients did not require further surgical intervention and were considered a success.<\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n Partial first-ray resections are not highly successful. Our study found a higher success rate compared to a previous study done by Cohen et al in 1991. Partial first-ray amputations can be a good initial procedure to salvage the foot and prolong a patient\u2019s bipedal ambulatory status, thereby lowering the patient\u2019s morbidity and mortality. (J Am Podiatr Med Assoc 102(5): 412\u2013416, 2012)<\/jats:p>\n <\/jats:sec>","DOI":"10.7547\/1020412","type":"journal-article","created":{"date-parts":[[2014,4,1]],"date-time":"2014-04-01T09:47:20Z","timestamp":1396345640000},"page":"412-416","source":"Crossref","is-referenced-by-count":21,"title":["Assessment of Partial First-Ray Resections and Their Tendency to Progress to Transmetatarsal Amputations"],"prefix":"10.3390","volume":"102","author":[{"given":"John","family":"Kadukammakal","sequence":"first","affiliation":[{"name":"Department of Podiatry, Crozer-Chester Medical Center, Upland, PA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sydney","family":"Yau","sequence":"additional","affiliation":[{"name":"Department of Podiatry, Crozer-Chester Medical Center, Upland, PA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William","family":"Urbas","sequence":"additional","affiliation":[{"name":"Department of Podiatry, Crozer-Chester Medical Center, Upland, PA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","reference":[{"key":"b1-1020412","series-title":"J Foot Ankle Surg","doi-asserted-by":"publisher","first-page":"240","DOI":"10.1016\/S1067-2516(97)80116-0","article-title":"The natural history of great toe amputations.","volume":"36","author":"Murdoch, DP","year":"1997","unstructured":"Murdoch, DP, DGArmstrong, and JBDacus. :The natural history of great toe amputations. .J Foot Ankle Surg36::240. ,1997. .10.1016\/S1067-2516(97)80116-0"},{"key":"b2-1020412","series-title":"J Foot Surg","first-page":"29","article-title":"Panmetatarsal head resection and transmetatarsal amputation vs. solitary partial ray resection in the neuropathic foot.","volume":"30","author":"Cohen, M","year":"1991","unstructured":"Cohen, M, ARoman, and WGMalcolm. :Panmetatarsal head resection and transmetatarsal amputation vs. solitary partial ray resection in the neuropathic foot. .J Foot Surg30::29. ,1991. ."},{"key":"b3-1020412","series-title":"Diabetes Care","doi-asserted-by":"publisher","first-page":"165","DOI":"10.2337\/diacare.19.2.165","article-title":"The development of foot deformities and ulcers after great toe amputation in diabetes.","volume":"19","author":"Quebedeaux, TL","year":"1996","unstructured":"Quebedeaux, TL, LALavery, and DCLavery. :The development of foot deformities and ulcers after great toe amputation in diabetes. .Diabetes Care19::165. ,1996. .871843910.2337\/diacare.19.2.165"},{"key":"b4-1020412","series-title":"Diabetes Care","doi-asserted-by":"publisher","first-page":"1460","DOI":"10.2337\/diacare.18.11.1460","article-title":"Increased foot pressures after great toe amputation in diabetes.","volume":"18","author":"Lavery, LA","year":"1995","unstructured":"Lavery, LA, DCLavery, and TLQuebedeax-Farnham. :Increased foot pressures after great toe amputation in diabetes. .Diabetes Care18::1460. ,1995. .10.2337\/diacare.18.11.14608722070"},{"key":"b5-1020412","series-title":"JAPMA","first-page":"6","article-title":"Subtotal pedal amputations: biomechanical and intraoperative considerations.","volume":"91","author":"Funk, C","year":"2001","unstructured":"Funk, C and GYoung. :Subtotal pedal amputations: biomechanical and intraoperative considerations. .JAPMA91::6. ,2001. ."},{"key":"b6-1020412","series-title":"Plast and Reconstr Surg","doi-asserted-by":"publisher","first-page":"439","DOI":"10.1097\/00006534-198603000-00018","article-title":"Diabetic foot infections: fate of the contralateral foot.","volume":"77","author":"Kucan, JO","year":"1986","unstructured":"Kucan, JO and MCRobson. :Diabetic foot infections: fate of the contralateral foot. .Plast and Reconstr Surg77::439. ,1986. .10.1097\/00006534-198603000-00018"},{"key":"b7-1020412","series-title":"J Foot Surg","first-page":"103","article-title":"Ray resections in the insensitive of dysvascular foot: a critical review.","volume":"24","author":"Gianfortune, P","year":"1985","unstructured":"Gianfortune, P, RJPulla, and RSage. :Ray resections in the insensitive of dysvascular foot: a critical review. .J Foot Surg24::103. ,1985. .3989224"},{"key":"b8-1020412","series-title":"Clin Orthop Relat Res","doi-asserted-by":"publisher","first-page":"232","DOI":"10.1097\/00003086-198412000-00031","article-title":"Ray resection in the dysvascular foot. A retrospective review.","volume":"191","author":"Pinzur, MS","year":"1984","unstructured":"Pinzur, MS, RSage, and PSchwaegler. :Ray resection in the dysvascular foot. A retrospective review. .Clin Orthop Relat Res191::232. ,1984. .10.1097\/00003086-198412000-00031"}],"container-title":["Journal of the American Podiatric Medical Association"],"original-title":[],"link":[{"URL":"https:\/\/japmaonline.org\/view\/journals\/apms\/102\/5\/1020412.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/meridian.allenpress.com\/japma\/article-pdf\/102\/5\/412\/1404954\/1020412.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/japmaonline.org\/downloadpdf\/journals\/apms\/102\/5\/1020412.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/japmaonline.org\/downloadpdf\/journals\/apms\/102\/5\/1020412.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T10:12:20Z","timestamp":1783505540000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1930-8264\/102\/5\/412"}},"subtitle":["A Retrospective Study"],"short-title":[],"issued":{"date-parts":[[2012,9]]},"references-count":8,"journal-issue":{"issue":"5"},"URL":"https:\/\/doi.org\/10.7547\/1020412","relation":{},"ISSN":["8750-7315","1930-8264"],"issn-type":[{"value":"8750-7315","type":"print"},{"value":"1930-8264","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,9]]}}}