Toe Amputation Bleeding Control in Surgery

This is an 82 year old diabetic who had osteomyelitis of the distal tip of his left hallux as confirmed by MRI and bone biopsy. He had a wound that probed down into bone. We did skin perfusion pressure prior to the surgery. He had skin perfusion pressure well above the threshold for healing that were in the 60 and 70 range. He was on Plavix and aspirin as well. We performed a distal Syme’s amputation of the left hallux. We also took the head of the proximal phalanx as it had some discoloration. After we removed that the bone was bleeding well and then we applied the Omni-stat for two minutes and seven seconds. After doing that we primarily closed.

Presented by Matthew Regulski, DPM

Dr. Matthew Regulski, DPM is a podiatric surgery specialist in Browns Mills, NJ. Dr. Regulski completed a residency at Main Line Health System – Phila, PA. He currently practices at Ocean County Foot & Ankle Surgical Associates, P.C. and is affiliated with Community Medical Center.

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