Syme's amputation: a neglected procedure

Area of Science:

• Podiatric surgery
• Vascular surgery
• Orthopedic surgery

Background:

• Syme's amputation is a surgical procedure involving disarticulation at the ankle joint.
• Peripheral vascular disease and diabetic gangrene are common indications for lower limb amputations.
• Previous attempts to revascularize circulation may precede amputation.

Purpose of the Study:

• To review the indications and surgical techniques for Syme's amputation.
• To analyze patient outcomes following Syme's amputation over a 9-year period.

Main Methods:

• Retrospective review of nine patients undergoing ten Syme's amputations over nine years.
• Analysis of patient demographics, underlying conditions, and surgical history.

Main Results:

• Six amputations were for peripheral vascular disease, three for diabetic gangrene, and one for trauma.
• Two patients required a subsequent below-knee amputation.
• One patient with Buerger's disease underwent bilateral Syme's amputations.

Conclusions:

• Syme's amputation is a viable option for specific lower limb conditions, particularly when conservative measures fail.
• Careful patient selection and surgical technique are crucial for optimal outcomes.
• Understanding the indications and potential complications is essential for managing patients requiring Syme's amputation.