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Related Experiment Videos

Boyd and Syme ankle amputations in children.

R E Eilert, S S Jayakumar

    The Journal of Bone and Joint Surgery. American Volume
    |December 1, 1976
    PubMed
    Summary

    Both Syme and Boyd ankle amputation techniques show good results in children. Optimal heel function is achieved with plantigrade alignment, with Boyd technique offering surer alignment despite technical difficulty.

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    Area of Science:

    • Orthopedic surgery
    • Pediatric orthopedics
    • Podiatric surgery

    Background:

    • Ankle disarticulation in children presents unique challenges.
    • Syme and Boyd amputations are common surgical options.
    • Long-term functional outcomes require careful evaluation.

    Purpose of the Study:

    • To compare the long-term outcomes of Syme and Boyd ankle amputations in pediatric patients.
    • To evaluate the functional results and complications associated with each technique.
    • To determine the optimal surgical approach for ankle disarticulation in children.

    Main Methods:

    • A retrospective study comparing thirty-four children undergoing Syme or Boyd ankle amputation.
    • Patients were followed for three to sixteen years post-surgery.
    • Outcomes assessed included functional results and heel pad alignment.

    Main Results:

    • Both Syme and Boyd amputations yielded good results in pediatric patients.
    • Plantigrade alignment of the heel pad was crucial for near-normal function.
    • The Boyd technique provided more reliable alignment but was technically demanding.

    Conclusions:

    • Both Syme and Boyd ankle amputation techniques are recommended for children.
    • Achieving plantigrade heel pad alignment is key for optimal function.
    • Neither technique demonstrated a distinct advantage over the other for all cases.

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