Annie Posted Wed 05th of October, 2016 09:44:57 AM
The physician stated he amputated the toe to cancellous bone, would that be metatarsal joint or metatarsophalangeal joint?
SuperCoder Answered Thu 06th of October, 2016 02:21:03 AM
With little information of the case it is not clear if the provider amputated the metatarsal joint or metatarsophalangeal joint. In cases where two or more medial rays are to be amputated, usually a transmetatarsal amputation is considered. The provider aims at saving as much metatarsal shaft length in order to provide maximum surface area on the patient’s foot for secure suspension of a shoe. Therefore the amputation commonly begins on the metatarsals medially, if possible within the cancellous bone of the first metatarsal head. However, correlation with the detailed information of the case will be important here. Hope this helps!! Thank you.