Complication of TMA Amputation

This insulin diabetic patient developed a forefoot infection that necessitated a transmetatarsal amputation that dehisced and he was referred to our center for recommendations and management.

He was started on Hyperbaric Oxygen to improve the gangrenous flap area and arrest the necrotizing infection. He then underwent serial debridement, which resulted in a completely uncovered TMA amputation. He was being staged for graft application but it was noted that he was rapidly granulating due to the hyperbaric stimulation and was allowed to close by secondary retention without graft.