A, Dorsal and plantar incisions for transmetatarsal amputation and disarticulation at the metatarsophalangeal joints. B, Dorsal incision. C, Plantar incision. D to F, Level of bone transection in transmetatarsal amputation. G and H, Osteotomy locations are gently curved with flap brought over the ends of bones. I, One-layer closure using monofilament nonabsorbable suture. SEE TECHNIQUE 15.7.