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Syme's amputation.

J Stuyck1, P Vandenberk, P Reynders

  • 1Department of Orthopedic Surgery, University Hospital, Pellenberg, Belgium.

Acta Orthopaedica Belgica
|January 1, 1990
PubMed
Summary
This summary is machine-generated.

Syme's amputation offers a durable end-bearing stump, even for insensitive feet. However, patients with vascular disease face a higher failure rate, potentially requiring more proximal amputation.

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Area of Science:

  • Orthopedic Surgery
  • Vascular Surgery
  • Podiatric Surgery

Background:

  • Syme's amputation is a surgical procedure for below-the-knee amputation.
  • It aims to preserve a functional, weight-bearing stump.
  • Patient selection and surgical technique are crucial for success.

Purpose of the Study:

  • To evaluate the outcomes and failure rates of Syme's amputation.
  • To identify factors associated with treatment failure.
  • To assess the suitability of Syme's amputation in patients with and without vascular disease.

Main Methods:

  • Retrospective review of patients undergoing Syme's amputation.
  • Classification of procedures into one-stage and two-stage operations.
  • Analysis of failure rates, defined as the need for more proximal amputation.

Related Experiment Videos

  • Stratification of results based on the presence of vascular disease.
  • Main Results:

    • Syme's amputation was performed in 21 patients (8 one-stage, 13 two-stage).
    • Overall failure rate was 24%.
    • In patients with vascular disease, the failure rate was 38%, compared to 24% in the total group.
    • Failures were exclusively observed in patients with underlying vascular disease.

    Conclusions:

    • Syme's amputation can provide a durable, end-bearing stump.
    • Vascular disease is a significant risk factor for Syme's amputation failure.
    • Careful patient selection is essential, particularly in those with compromised circulation.