Partial resection of foot usu. performed after severe trauma; does not require healthy plantar skin distally but is indicated for distal foot or toe infection. Procedure is contraindicated for any heel abnormality, including neuropathy. Surgery was originally described as 1-stage operation, but 2-stage Wagner modification is now most commonly performed because of better stump fitting and cosmesis. Heel pad must be anchored to bone with reduction of soft tissue dog ears.