{"id":3391,"date":"2014-03-07T09:21:08","date_gmt":"2014-03-07T09:21:08","guid":{"rendered":"http:\/\/old.institutcataladelpeu.com\/en\/?p=3391"},"modified":"2016-10-24T07:46:46","modified_gmt":"2016-10-24T07:46:46","slug":"making-of-transmetatarsal-prosthesis","status":"publish","type":"post","link":"https:\/\/old.institutcataladelpeu.com\/en\/making-of-transmetatarsal-prosthesis\/","title":{"rendered":"MAKING OF TRANSMETATARSAL PROSTHESIS"},"content":{"rendered":"<div style=\"text-align: justify;\">\n<p>The transmetatarsal amputation is one of the most surgical resections in foot. This kind of amputations are usually made as a consequence of serious infections \u2013very frequent in diabetic patients-, vascular alterations and traumatisms from several causes. Sometimes, a transmetatarsal amputation is better than to keep rigid or deformed toes which may alter the correct wander, cause pain or make difficult the prosthesis adaptation to the amputee foot. This resection technique has less problems than other techniques.<br \/>\nThe transmetatarsal amputation allows the foot propulsion with respect to the floor in the takeoff dynamic stage. So, in this way we mitigate the lack of toes.<\/p>\n<p>The aim of the prosthesis is to fill the amputee zone of the front part of the foot avoiding the acquired echinism as well as the supination of the back part of the foot. The talalgias and plantar traumatisms are other factors to value when we make this prosthesis. To make a prosthesis it is necessary to make a mold of the foot because in these patients it is very important the correct adaptation of the prosthesis into the stump.<\/p>\n<p>The design of the prosthesis is made with light technical materials and with a half stiff spring at a longitudinal level to let the propulsion of foot. This spring must be made with a material that can withstand the important strengths of a cut made by metal shears which is subjected in every step. With this kind of prosthesis we get a protection of the riskiest damage zones, a bigger performance of the remaining foot and a biomechanics functional the most natural as possible.<\/p>\n<div id=\"attachment_707\" style=\"width: 614px\" class=\"wp-caption aligncenter\"><a href=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/transmetatars-01-munon_0.jpg\"><img  title=\"MAKING OF TRANSMETATARSAL PROSTHESIS\" loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-707\" class=\"size-large wp-image-707\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/transmetatars-01-munon_0-725x543.jpg\"  alt=\"MAKING OF TRANSMETATARSAL PROSTHESIS\"  width=\"604\" height=\"452\" \/><\/a><p id=\"caption-attachment-707\" class=\"wp-caption-text\">Hyperkeratosis (callosity) and hematoma in stump due to the use of no personalized prosthesis.<\/p><\/div>\n<div id=\"attachment_708\" style=\"width: 614px\" class=\"wp-caption aligncenter\"><a href=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/transmetatars-02-munon.jpg\"><img  title=\"MAKING OF TRANSMETATARSAL PROSTHESIS\" loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-708\" class=\"size-large wp-image-708\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/transmetatars-02-munon-725x543.jpg\"  alt=\"MAKING OF TRANSMETATARSAL PROSTHESIS\"  width=\"604\" height=\"452\" \/><\/a><p id=\"caption-attachment-708\" class=\"wp-caption-text\">It is important the assessment of the situation of the stump before designing and making the prosthesis.<\/p><\/div>\n<div id=\"attachment_709\" style=\"width: 614px\" class=\"wp-caption aligncenter\"><a href=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/transmetatars-03-munon.jpg\"><img  title=\"MAKING OF TRANSMETATARSAL PROSTHESIS\" loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-709\" class=\"size-large wp-image-709\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/transmetatars-03-munon-725x543.jpg\"  alt=\"MAKING OF TRANSMETATARSAL PROSTHESIS\"  width=\"604\" height=\"452\" \/><\/a><p id=\"caption-attachment-709\" class=\"wp-caption-text\">Making of transmetatarsal prosthesis for two feet.<\/p><\/div>\n<div id=\"attachment_710\" style=\"width: 614px\" class=\"wp-caption aligncenter\"><a href=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/transmetatars-04-molde.jpg\"><img  title=\"MAKING OF TRANSMETATARSAL PROSTHESIS\" loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-710\" class=\"size-large wp-image-710\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/transmetatars-04-molde-725x966.jpg\"  alt=\"MAKING OF TRANSMETATARSAL PROSTHESIS\"  width=\"604\" height=\"804\" \/><\/a><p id=\"caption-attachment-710\" class=\"wp-caption-text\">Making of negative mold.<\/p><\/div>\n<div id=\"attachment_711\" style=\"width: 614px\" class=\"wp-caption aligncenter\"><a href=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/transmetatars-05-moldes.jpg\"><img  title=\"MAKING OF TRANSMETATARSAL PROSTHESIS\" loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-711\" class=\"size-large wp-image-711\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/transmetatars-05-moldes-725x543.jpg\"  alt=\"MAKING OF TRANSMETATARSAL PROSTHESIS\"  width=\"604\" height=\"452\" \/><\/a><p id=\"caption-attachment-711\" class=\"wp-caption-text\">Appearance of negative molds when they are solidified.<\/p><\/div>\n<div id=\"attachment_712\" style=\"width: 614px\" class=\"wp-caption aligncenter\"><a href=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/transmetatars-06-elab-plantilla.jpg\"><img  title=\"MAKING OF TRANSMETATARSAL PROSTHESIS\" loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-712\" class=\"size-large wp-image-712\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/transmetatars-06-elab-plantilla-725x543.jpg\"  alt=\"MAKING OF TRANSMETATARSAL PROSTHESIS\"  width=\"604\" height=\"452\" \/><\/a><p id=\"caption-attachment-712\" class=\"wp-caption-text\">Making of the prosthesis over the negative mold.<\/p><\/div>\n<div id=\"attachment_713\" style=\"width: 614px\" class=\"wp-caption aligncenter\"><a href=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/transmetatars-07-zapato.jpg\"><img  title=\"MAKING OF TRANSMETATARSAL PROSTHESIS\" loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-713\" class=\"size-large wp-image-713\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/transmetatars-07-zapato-725x966.jpg\"  alt=\"MAKING OF TRANSMETATARSAL PROSTHESIS\"  width=\"604\" height=\"804\" \/><\/a><p id=\"caption-attachment-713\" class=\"wp-caption-text\">Adaptation of prosthesis to shoes. Provisional prove.<\/p><\/div>\n<div id=\"attachment_714\" style=\"width: 614px\" class=\"wp-caption aligncenter\"><a href=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/transmetatars-08-zapatos.jpg\"><img  title=\"MAKING OF TRANSMETATARSAL PROSTHESIS\" loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-714\" class=\"size-large wp-image-714\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/transmetatars-08-zapatos-725x966.jpg\"  alt=\"MAKING OF TRANSMETATARSAL PROSTHESIS\"  width=\"604\" height=\"804\" \/><\/a><p id=\"caption-attachment-714\" class=\"wp-caption-text\">Definitive prove of two prosthesis in orthopedic shoes.<\/p><\/div>\n<div id=\"attachment_715\" style=\"width: 614px\" class=\"wp-caption aligncenter\"><a href=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/transmetatars-09-plantillas.jpg\"><img  title=\"MAKING OF TRANSMETATARSAL PROSTHESIS\" loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-715\" class=\"size-large wp-image-715\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/transmetatars-09-plantillas-725x543.jpg\"  alt=\"MAKING OF TRANSMETATARSAL PROSTHESIS\"  width=\"604\" height=\"452\" \/><\/a><p id=\"caption-attachment-715\" class=\"wp-caption-text\">Definitive appearance of prosthesis of a patient with a transmetatarsal amputation of the right foot.<\/p><\/div>\n<div id=\"attachment_716\" style=\"width: 614px\" class=\"wp-caption aligncenter\"><a href=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/transmetatars-10-pie-plantillas.jpg\"><img  title=\"MAKING OF TRANSMETATARSAL PROSTHESIS\" loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-716\" class=\"size-large wp-image-716\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/transmetatars-10-pie-plantillas-725x543.jpg\"  alt=\"MAKING OF TRANSMETATARSAL PROSTHESIS\"  width=\"604\" height=\"452\" \/><\/a><p id=\"caption-attachment-716\" class=\"wp-caption-text\">Appearance which has the foot on the prosthesis.<\/p><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>The transmetatarsal amputation is one of the most surgical resections in foot. This kind of amputations are usually made as a consequence of serious infections \u2013very frequent in diabetic patients-, vascular alterations and traumatisms from several causes. Sometimes, a transmetatarsal amputation is better than to keep rigid or deformed toes which may alter the correct [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":6315,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[283,301],"tags":[],"class_list":["post-3391","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-articles-2","category-orthopodiatric-orthopaedics"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>MAKING OF TRANSMETATARSAL PROSTHESIS - Institut Catal\u00e0 del Peu<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"MAKING OF TRANSMETATARSAL PROSTHESIS - Institut Catal\u00e0 del Peu\" \/>\n<meta property=\"og:description\" content=\"The transmetatarsal amputation is one of the most surgical resections in foot. This kind of amputations are usually made as a consequence of serious infections \u2013very frequent in diabetic patients-, vascular alterations and traumatisms from several causes. Sometimes, a transmetatarsal amputation is better than to keep rigid or deformed toes which may alter the correct [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/old.institutcataladelpeu.com\/en\/making-of-transmetatarsal-prosthesis\/\" \/>\n<meta property=\"og:site_name\" content=\"Institut Catal\u00e0 del Peu\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/institutcataladelpeu\/\" \/>\n<meta property=\"article:published_time\" content=\"2014-03-07T09:21:08+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2016-10-24T07:46:46+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2014\/03\/amput12-transmetatars-380x285-1.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"380\" \/>\n\t<meta property=\"og:image:height\" content=\"285\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Miguel \u00c1ngel Ba\u00f1os Bernad\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@ICPeu\" \/>\n<meta name=\"twitter:site\" content=\"@ICPeu\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Miguel \u00c1ngel Ba\u00f1os Bernad\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/en\\\/making-of-transmetatarsal-prosthesis\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/en\\\/making-of-transmetatarsal-prosthesis\\\/\"},\"author\":{\"name\":\"Miguel \u00c1ngel Ba\u00f1os Bernad\",\"@id\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/en\\\/#\\\/schema\\\/person\\\/d2ccc8088f9445f3e2758c2a60caf354\"},\"headline\":\"MAKING OF TRANSMETATARSAL PROSTHESIS\",\"datePublished\":\"2014-03-07T09:21:08+00:00\",\"dateModified\":\"2016-10-24T07:46:46+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/en\\\/making-of-transmetatarsal-prosthesis\\\/\"},\"wordCount\":438,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/en\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/en\\\/making-of-transmetatarsal-prosthesis\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/wp-content\\\/uploads\\\/2014\\\/03\\\/amput12-transmetatars-380x285-1.jpg\",\"articleSection\":[\"Articles\",\"Orthopodiatric Orthopaedics\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/old.institutcataladelpeu.com\\\/en\\\/making-of-transmetatarsal-prosthesis\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/en\\\/making-of-transmetatarsal-prosthesis\\\/\",\"url\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/en\\\/making-of-transmetatarsal-prosthesis\\\/\",\"name\":\"MAKING OF TRANSMETATARSAL PROSTHESIS - 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This kind of amputations are usually made as a consequence of serious infections \u2013very frequent in diabetic patients-, vascular alterations and traumatisms from several causes. 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