RT Journal
A1 Langeveld, A.R.J.
A1 Oostenbroek, R.J.
A1 Wijffels, M.P.J.M.
A1 Hoedt, M.T.C.
T1 The Pirogoff Amputation for Necrosis of the ForefootA Case Report
JF The Journal of Bone & Joint Surgery
JO The Journal of Bone & Joint Surgery
YR 2010
FD April 1
VO 92
IS 4
SP 968
OP 972
DO 10.2106/JBJS.H.01890
UL http://dx.doi.org/10.2106/JBJS.H.01890
AB 
The Pirogoff amputation, removal of the forefoot and talus followed by calcaneotibial arthrodesis, produces a lower extremity with a minimum loss of length that is capable of bearing full weight1-5. Although the technique itself is not new, patients who have already undergone amputation of the contralateral leg may benefit particularly from this little-used amputation. Painless weight-bearing is essential for the patient who needs to retain the ability to make indoor transfers independently of helpers or a prosthesis. As the number of patients with peripheral vascular disease continues to increase, this amputation should be in the armamentarium of the treating orthopaedic surgeon.