Long Term Outcomes Following Syme’s Amputation:

Foot & Ankle Orthopaedics

MichaelPinzur¹ 

关键词: amputation;    diabetes;    infection;    trauma;   

DOI  :  10.1177/2473011417S000326

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Category:Ankle, Diabetes, TraumaIntroduction/Purpose:The metabolic cost of walking following Syme’s ankle disarticulation amputation is minimally more than similar non-amputees. The ability to end-bear makes prosthetic fitting relatively simple, and very few patients require extensive rehabilitation or placement in a skilled nursing or rehabilitation facility. In spite of these potential benefits, there is a paucity of objective information on the actual long term outcomes.Methods:Fifty-one patients were identified who underwent single stage Syme’s ankle disarticulation amputation with excision of the lateral and medial malleoli by a single surgeon during a twenty three year period. None of these patients had sufficient tissue to allow amputation at the transmetatarsal or tarsal-metatarsal levels. Thirty-three underwent amputation due to diabetic forefoot infection, eleven secondary to crush injury, three for non-diabetic infection, three for non-correctable acquired deformity and one for neoplasm. The av...

【 授权许可】

CC BY