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Prosthetic fitting problems of the quasi-Syme amputation
Clinical Orthopaedics and Related Research
|October 1, 1981
Summary
Improper Syme amputation techniques often result in stumps that cannot bear weight. These Quasi-Syme stumps require modified below-knee prostheses for successful ambulation.
Area of Science:
- Orthopedic Surgery
- Prosthetics and Orthotics
Background:
- The Syme amputation technique aims to preserve the heel pad for end-bearing.
- Deviations from the standard technique can compromise the stump's weight-bearing capacity.
Purpose of the Study:
- To address the challenges of fitting prostheses for suboptimal Syme amputation stumps.
- To evaluate the efficacy of modifying below-knee prostheses for Quasi-Syme stumps.
Main Methods:
- Analysis of cases with non-standard Syme amputations resulting in limited end-bearing.
- Adaptation of standard below-knee prosthesis sockets for Quasi-Syme stumps.
Main Results:
- Quasi-Syme stumps frequently result from imprecise Syme amputation procedures.
- Modified below-knee prosthesis sockets can provide satisfactory outcomes for these stumps.
Conclusions:
- Precise adherence to the Syme amputation technique is crucial for optimal stump function.
- Prosthetic modification offers a viable solution for patients with compromised Syme amputation stumps.