- Discussion:
- includes ankle disarticulation, removal of malleoli, & anchoring heel pad to the wt bearing surface) allows execellent gait with a cosmetic
prosthesis;
- symes amputations will not heal w/o palpable posterior artery pulse;
- surgery may be performed in 2 stages;
- most common indication for this is infection;
- ankle is disarticulated in the first stage and the amputation is revised approximately 6 weeks later during the second stage;
- components of the 2nd stage include resection of the malleoli flush w/ joint surface, fixation of the fat pad to residual bone, and revision of
redundant skin;
- this amputation allows for intermittent wt bearing; however, skin break down may occur if a prosthesis is used on a regular basis;
- majority of patients w/ Syme's amputation will require prothesis designed to relieve end weight bearing;
- Case Example: by Jan Van Der Bauwhede MD
© 1993-1997 Jan Van Der Bauwhede MD
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Syme's amputation in adults: a long-term review.
Syme amputation in children: indications, results, and long-term follow-up.
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Syme amputation. An evaluation of the physical and psychological function in young patients.
Syme Ankle Disarticulation in Patients with Diabetes
Partial foot amputations in children. A comparison of the several types with the Syme amputation.
The Syme amputation: success in elderly diabetic patients with palpable ankle pulses.