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Syme's amputation: a neglected procedure

H R Chissell1, N B Corner

  • 1Department of Surgery, Kent and Canterbury Hospital, UK.

Journal of the Royal College of Surgeons of Edinburgh
|December 1, 1993
PubMed
Summary
This summary is machine-generated.

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Syme

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.

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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.