Fig. 122.
The fore part of the foot which constitutes the prosthetic apparatus consists of a block of wood, which reaches forward as far as the middle of the metatarsus and ends in a vertical plate in front of the stump. This block of wood is carved to the shape of the stump and lined with felt. It is attached to the leg by a leather gaiter which laces in front.
Anteriorly it is prolonged into an artificial toe piece similar to that already described for the artificial limb for amputation through the thigh.
This appliance is not indispensable. It is sufficient to use a piece of cork shaped to the anterior surface of the stump and filling up the anterior part of the boot, its advantage, however, is that once the patient is fitted with this appliance he can wear an ordinary boot.
2. Partial Amputation of the Fore Part of the Foot.—These are—
Transverse amputation through the metatarsal bones.
Disarticulation of one or more toes with their metatarsal bones.
Disarticulation of one or more toes.
For any of these amputations all that is required is an ordinary boot, fitted with a cork, which is shaped to fit the stump and which fills up the space left by the amputation.