Ray amputation, which involves the excision of the toe and part of the metatarsal, provides a more viable option of ensuring an adequate surgical debridement of the septic margins.

When is Ray amputation done?

The indications for ray resection are ischemic necrosis involving the metacarpal, severe dysfunction of the proximal interphalangeal joint (PIPJ) and amputations at the level of the proximal phalanx (6, 7). Amputations performed distal to the PIPJ have good outcomes without ray resection (6, 8-10).

Is a ray resection and amputation?

Compared with amputation at the proximal phalangeal level, a single ray resection has better cosmesis and similar function, resulting in improved patient satisfaction. However, a 15% to 30% loss in grip and pinch strength has been reported.