Prior to Procedure
Before the surgery, your doctor may do some of the following:
- Blood tests
of toe and foot
- Bone scan
to see if the bone is infected
- Tests to evaluate blood circulation and help the doctor determine how much of the foot or toe needs to be amputated
Talk to the doctor about the medicines you are taking. You may be asked to adjust the dose or stop taking certain medicines, such as:
- Aspirin or other anti-inflammatory drugs (may need to stop up to one week before)
Blood-thinning medicines, such as:
In the days leading up to your surgery:
- Arrange for a ride to and from the hospital.
- Arrange for help at home after the surgery.
- The night before, eat a light meal. Do not eat or drink anything after midnight.
- You may be asked to shower the morning of your procedure. You may be asked to use a special antibacterial soap.
Description of the Procedure
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.
Amputation of Crushed Toe
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Immediately After Procedure
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 medicine. You may also receive more antibiotic medicines.