Surgical removal of a toe, foot, or part of a foot
Amputation is most often done to:
Problems from the procedure are rare, but all procedures have some risk. Your doctor will review potential problems, like:
Before your procedure, talk to your doctor about ways to manage factors that may increase your risk of complications, such as:
Before the surgery, your doctor may do some of the following:
Talk to the doctor about the medications you are taking. You may need to stop taking some medications up to 1 week before the procedure.
In the days leading up to your surgery:
Based on your surgery and general health, you may have:
You will be given IV fluids and antibiotics. Your foot will be washed with an antibacterial solution. The surgeon will make an incision into the skin around the area. The blood vessels will be tied off or sealed with an electrical current. This will prevent bleeding. The involved bones will be removed.
The ends of the remaining bone(s) will be smoothed. The remaining skin and muscle will be pulled over the open area. It will be closed with stitches. A sterile dressing will then be placed over the incision.
If there is an active infection, tubes may be left in place to allow fluids to drain. In some cases, the skin will not be closed but will instead be packed with a moist dressing.
You will be taken to a recovery room. There, you will be monitored for any negative effects from the surgery or anesthesia. You will be given pain medication. You may also receive more antibiotics.
Anesthesia will prevent pain during surgery. Pain and discomfort after the procedure can be managed with medications.
The usual length of stay is 2-7 days. Your doctor may choose to keep you longer if complications arise.
You may have to restrict specific activities until you're healed. You may be advised to begin an exercise, physical therapy, or rehabilitation program. Your doctor may prescribe medications for pain or other conditions that need to be managed. Follow your doctor's instructions.
Contact your doctor if your recovery is not progressing as expected or you develop complications, such as:
If you think you have an emergency, call for emergency medical services right away.
American Diabetes Association
Ortho Info—American Academy of Orthopaedic Surgeons
Canadian Diabetes Association
The Canadian Orthopaedic Association
Baima J, Trovato M, Hopkins M, deLateur B. Achieving functional ambulation in a patient with Chopart amputation. Am J Phys Med Rehabil. 2008;87(6):510-513
Frykberg RG. Diabetic foot ulcers: pathogenesis and management. Am Fam Physician. 2002;66(9):1655-1663.
Parrett B, Pribaz J, Matros E, et al. Risk analysis for the reverse sural fasciocutaneous flap in distal leg reconstruction.. Plast Reconstr Surg. 2009;123(5):1499-1504
Last reviewed November 2018 by EBSCO Medical Review Board Warren A. Bodine, DO, CAQSM Last Updated: 12/20/2014