Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

The Syme amputation in children.

W H Davidson, W H Bohne

    The Journal of Bone and Joint Surgery. American Volume
    |October 1, 1975
    PubMed
    Summary

    Syme ankle disarticulation in children promotes proportionate bone and soft tissue growth, enabling prosthetic use within three months. This surgical technique is recommended for specific congenital lower extremity anomalies.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    Clinical importance of the lateral branch of the deep peroneal nerve.

    Clinical orthopaedics and related research·2007
    Same author

    Tarsal coalition.

    Current opinion in pediatrics·2001
    Same author

    Ganglion cysts of the lower extremity: an analysis of 54 cases and review of the literature.

    Orthopedics·1998
    Same author

    Action of the peroneus longus tendon on the first metatarsal against metatarsus primus varus force.

    Foot & ankle international·1997
    Same author

    Anatomy of the Achilles tendon and plantar fascia in relation to the calcaneus in various age groups.

    Foot & ankle international·1995
    Same author

    Spindle cell lipoma of the foot: a case report and literature review.

    Foot & ankle international·1995

    Area of Science:

    • Pediatric Orthopedics
    • Surgical Reconstruction
    • Biomedical Engineering

    Background:

    • Congenital lower extremity anomalies pose significant challenges for pediatric patients.
    • Limb-sparing surgeries aim to preserve function and promote normal growth.
    • Syme ankle disarticulation is a surgical option for specific ankle and foot deformities.

    Purpose of the Study:

    • To evaluate the long-term outcomes of Syme ankle disarticulation in children.
    • To assess bone and soft tissue growth, prosthetic ambulation, and complication rates.
    • To determine the efficacy of prosthetic management for secondary deformities like genu valgum.

    Main Methods:

    • Retrospective analysis of 23 children undergoing Syme ankle disarticulation (ages 2-11 years).
    • Assessment of skeletal growth, soft tissue development, and time to prosthetic ambulation.
    • Documentation of surgical complications, including ischemic necrosis and tendon migration.
    • Evaluation of prosthetic interventions for managing progressive genu valgum in fibular hemimelia.

    Main Results:

    • All 23 children demonstrated proportionate bone and soft tissue growth post-surgery.
    • Permanent prostheses were utilized by all patients within three months of operation.
    • Two cases of ischemic necrosis occurred due to posterior tibial artery ligation.
    • Suturing extensor tendons to the heel pad prevented posterior migration.
    • Prosthetic realignment successfully managed genu valgum in 10 of 14 affected children.

    Conclusions:

    • Syme ankle disarticulation facilitates normal growth and early prosthetic use in pediatric patients.
    • Careful surgical technique is crucial to avoid complications like ischemic necrosis.
    • Prosthetic management plays a vital role in addressing secondary deformities.
    • Early Syme ankle disarticulation is a viable treatment for select congenital lower extremity anomalies.

    Related Experiment Videos