What is an amputation?

Amputation is the medical term for the separation of a body part. This can occur as a planned surgical procedure or traumatically, due to an accident. There are various reasons for surgical amputation, but it is usually considered a last resort and is not taken lightly. The decision to amputate a body part is usually made when tissue is so damaged that it dies, increasing the risk of life-threatening infections. This can occur in cases of vascular diseases, bacterial infections, advanced diabetes mellitus, cancer, or after severe accidents. Generally, the aim is to amputate as little as possible and to preserve the function of the affected body part as much as possible.

In toe amputation, one or more toes are surgically removed. Common causes include diabetes mellitus, vascular diseases, local infections, frostbite, and deformities. The procedure is planned using various imaging techniques to ensure that the remaining stump is adequately supplied with blood. During the operation, the bones of the affected limbs are severed and removed, and the resulting wound is covered with overlapping skin.

The removal of a single small toe usually does not significantly alter stability during walking and standing. However, the reasons for the amputation are often systemic vascular diseases, so further amputations may become necessary over time. The impact on the aesthetics of the foot and the psychological burden of an amputation should not be overlooked. Depending on whether only the toe is amputated, or if the metatarsal bone is also removed (ray amputation), the provision of a prosthesis may become necessary. This aims to help the affected individuals regain their original stability and thus ensure their independent mobility.

After a toe amputation, it is necessary to wait for the complete healing of the stump before fitting the prosthesis. Both preliminary and permanent prostheses are available. We take the time in a detailed consultation to find an individually suitable solution. The primary goal is to restore the lost stability and mobility, thus significantly improving the quality of life.

In addition to the prosthesis, other aids such as a brace or a cane may be considered for safety while walking and standing. We also take the time to thoroughly discuss these options.

Along with general surgical risks such as wound healing disorders, bleeding, and infections, amputations can lead to so-called phantom sensations. These are abnormal sensations like burning, coldness or warmth, and even stabbing pain in the area of the amputated limb. This phenomenon can be prevented by using local anesthesia early on, for example during a toe amputation. Treatments that have proven effective include mirror therapy, transcutaneous nerve stimulation, pharmacological therapy, and biofeedback.