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Boyd amputation in adults.
Bilgehan Tosun1, Levent Buluc, Umit Gok
1Kocaeli University School of Medicine, Department of Orthopaedics and Traumatology, Umuttepe Merkez Kampüsü, 41380 Umuttepe, Kocaeli, Turkey. bilgehantosun@yahoo.com
Foot & Ankle International
|February 21, 2012
Summary
Boyd amputation for diabetic foot ulcers and peripheral arterial disease has a high revision rate, but can preserve limb length in select patients. This study evaluated its effectiveness in 14 adults.
Area of Science:
- Podiatric surgery
- Diabetic complications
- Vascular surgery
Background:
- Foot amputations are a severe complication of diabetes and peripheral arterial disease.
- Boyd amputation is less common than Syme amputation due to its reliance on adult calcaneotibial union.
Purpose of the Study:
- To evaluate the outcomes of Boyd amputation in adult patients.
- To assess the viability of Boyd amputation for limb salvage.
Main Methods:
- Fifteen Boyd amputations were performed on 14 adult patients.
- Indications included diabetic foot ulceration, lower extremity ischemic disease, and peripheral neuropathy.
- One patient with scleroderma underwent bilateral amputations for digital ischemic necrosis.
Main Results:
- Complete wound healing was achieved in 7 of 15 feet (47%).
- Seven patients (50%) required revision to a more proximal amputation level.
Conclusions:
- Boyd amputation has a high failure rate requiring further revisions.
- Despite this, Boyd amputation remains a viable option for limb length preservation in carefully selected patients.
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