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[Syme amputation in heel defects].

A Koller·U Hafkemeyer·H H Wetz
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Abstract

The main advantage of Syme's amputation is the end-bearing stump. A defective heel pad often leads to below-knee amputation. The question of interest is whether an atypical cutaneous flap also provides a covering for the stump adaptable to weight-bearing. Thirteen patients with heel pad ulcers or tumors who could not be attended to with a classic Syme's amputation were operated on in a modified fashion. Skin from the dorsum of the foot or a medial flap was used for covering the stump. Two patients underwent transtibial amputation. The remaining 11 patients received a covering for the end of the stump composed of tissue thick and bulky enough for weight-bearing in a prosthesis typical for a Syme stump. The results show that a transtibial amputation can be prevented by atypical soft-tissue coverage of a Syme stump with satisfactory results regarding function and cosmetics.

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Amputation, SurgicalAmputation StumpsArtificial LimbsFemaleFoot DiseasesHeelHumansMaleMiddle AgedSurgical FlapsWeight-BearingEnglish AbstractJournal Article

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A Koller, U Hafkemeyer, H H Wetz. 2001. [Syme amputation in heel defects].. https://doi.org/10.1007/s001320050587

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