Syme's Amputation: Do We Need It in 2020?
Uttam C Saini, Sanjay S Rawat, Mandeep S Dhillon
Ankle disarticulation, Boyd amputation, Heel pad, Modified pirogoff amputation, Syme\'s amputation
Citation Information :
Saini UC, Rawat SS, Dhillon MS. Syme's Amputation: Do We Need It in 2020?. J Foot Ankle Surg Asia-Pacific 2021; 8 (2):86-90.
CC BY-NC 4.0
Copyright © 2021; Jaypee Brothers Medical Publishers (P) Ltd.
Syme\'s amputation was initially described during the pre-antisepsis and pre-antibiotic era and was found useful in many situations. Over time, this amputation technique lost favor due to associated complications and a cosmetically unacceptable prosthesis. The original technique was modified over the years, with reduced complications and improved outcomes and gait. We discuss here the evolution of Syme\'s amputation, its modifications, the importance of preoperative evaluation, and critical intraoperative steps for the success of the procedure.
Amputation at the ankle joint. Lond and Edinburgh. J Med Sci 1843;3:93–96.
Syme's amputation; The technical details essential for success. J Bone Joint Surg Br 1956;38-B(3):614–632. DOI: 10.1302/0301-620X.38B3.614.
The history and development of Syme's amputation. Artif Limbs 1961;6:4–43.
Syme amputation: a systematic review. Foot Ankle Int 2018;39(3):284–291. DOI: 10.1177/1071100717745313.
Surgical technique, prosthetic considerations, and case reports. J Am Podiatr Med Assoc 2002;92:15.
Modification of the syme amputation to prevent post-operative heel pad migration. J Foot Ankle Surg 2013;52(6):766–770. DOI: 10.1053/j.jfas.2013.07.006.
Achilles tendon tenodesis to prevent heel pad migration in the syme's amputation. Foot Ankle Int 1994;15(1):14–17. DOI: 10.1177/107110079401500104.
Correction of varus heel pad in patients with Syme's amputations. J Foot Ankle Surg Off Publ Am Coll Foot Ankle Surg 2012;51(3):394–397. DOI: 10.1053/j.jfas.2012.02.001.
The syme amputation. In: Atlas of Limb Prosthetics Bowker J, Michael J, ed., St. Louis: C.V. Mosby, pp. 413–422. http://www.oandplibrary.org/alp/chap17-01.asp (accessed 2 Oct 2020).
Syme amputation performed in two stages. J Bone Joint Surg Am 1954;36-A(1):37–42. DOI: 10.2106/00004623-195436010-00005 passim.
Syme ankle disarticulation in peripheral vascular disease and diabetic foot infection: the one-stage versus two-stage procedure. Foot Ankle Int 1995;16(3):124–127. DOI: 10.1177/107110079501600303.
Amputations of the foot and ankle. Current status. Clin Orthop 1977. 62–69.
Syme's amputation: a retrospective review of 10 cases. Clin Podiatr Med Surg 2005;22(3):395–427. DOI: 10.1016/j.cpm.2005.03.008.
Amputations of the foot. In: Canale ST, Beaty JH, ed. Campbell's Operative Orthopaedics. 12th ed., Elsevier; 2013.
A new approach to symes and its prosthesis. Orthot Prosthet 1985;39:47–52.
A modified surgical-prosthetic approach to the Syme's amputation. A follow-up report. Clin Orthop 1972;85:11–15. DOI: 10.1097/00003086-197206000-00004.
The modified Pirogoff's amputation in treating diabetic foot infections: Surgical technique and case series. Diabet Foot Ankle 2014;5(1):23354. DOI: 10.3402/dfa.v5.23354.
Modified boyd amputation. J Bone Joint Surg Br 1996;78-B(1):149–150. DOI: 10.1302/0301-620X.78B1.0780149.
Long-term outcomes following syme's amputation. Foot Ankle Int 2017;38(7):732–735. DOI: 10.1177/1071100717702462.
Syme ankle disarticulation in patients with diabetes. J Bone Jt Surg-Am 2003;85(9):1667–1672. DOI: 10.2106/00004623-200309000-00003.
An improved prosthesis for a syme amputation: Rex L. Diveley MD, Richard H. Kiene MD. Clin Orthop 2008;466(1):127–129. DOI: 10.1007/s11999-007-0027-0.
Energy cost of walking of amputees: the influence of level of amputation. J Bone Joint Surg Am 1976;58(1):42–46. DOI: 10.2106/00004623-197658010-00007.
Results after amputations of Chopart, Pirogoff and Syme. Acta Orthop Scand 1965;36:344–345.
Utilizing threaded steinmann pins to resect the talus and calcaneus for ankle joint disarticulation (Syme's procedure). J Foot Ankle Surg 2000;39(1):59–60. DOI: 10.1016/S1067-2516(00)80066-6.
Partial foot amputations in children. A comparison of the several types with the Syme amputation. J Bone Joint Surg Am 1982;64(3):438–443. DOI: 10.2106/00004623-198264030-00015.