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Syme Amputasyonu

Syme amputation

Journal Name:

  • İnönü Üniversitesi Tıp Fakültesi Dergisi

Publication Year:

  • 1997

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Syme amputation was performed to 19 patients admitted to Dicle University, Medical Faculty, Department of Orthopedics & Traumatology in between 1990-1994. Nine patients with diabetes or vascular diseases treated with Wagner's two-stage technique. Median age of the patients was 33 years (4-63 years). Six of them were women, 13 were men. Of 19 patients, 7(%36) had fire gun-wound, 5 (%26) had diabetes, 4 (%21) had vascular diseases, 2 (%12) had occupational accident and 1 (%5) had fibular hemimelia type II. The follow-up period was approximately 11 months(3-36 months). There was no complication in 15 (%78) patients at early or late period of follow-up. The other 4 patients, 1 had calcaneal fat flap, 1had calcaneal pain and 2 patients with diabetes had infection within post-operative 14 days. Infection could not be controlled in these 2 patients, and they underwent below-knee amputation. [Journal of Turgut Özal Medical Center 1997;4(2):143-146]
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Abstract (Original Language): 
1990-1994 yılları arasında Dicle Üniversitesi Tıp Fakültesi Ortopedi ve Travmatoloji servisine başvuran 19 hastaya syme amputasyonu yapıldı. Bu hastalardan diabetik ve vasküler nedenli 9 hastaya Wagner'in iki aşamalı (two- stage teknik) operasyonu uygulandı. 6'sı bayan, lS'ü erkek olan bu hastaların yaş ortalaması 33 (4-63) idi. Bu hastaların 7'sinde (%36)'ateşli silah yaralanması, 5'inde(%26) diabet, 4'ünde (%21) vasküler hastalık, 2'sinde (%12) iş kazası ve 1 'inde (%5) fibular hemimelia (tipli) etyolojik faktördü. Ortalama 11 (3-36) ay takiplerimiz neticesinde 19 hastanın 15'de (%78) erken yada geç dönemde hiçbir komlikasyonla karşılaşılmazken, diğer hastaların 1 'inde topuk kayması, 1 'inde ise topuk ağrısı gelişti. Bunların haricinde diabetik hastaların 2'sinde postoperatif ilk 14 gün içinde enfeksiyon gelişti. Bu hastaların enfeksiyonları, kontrol altına alınamıyarak topuk nekrozu gelişti. Bu hastalara diz altı amputasyon uygulandı. [Turgut Özal Tıp Merkezi Dergisi 1997;4(2): 143-146]
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  • 2
143-146
  • Turkish

REFERENCES

References: 

1. Syme J. Surgical cases and observation. Amputation at the ankle.1843 (classical article). Clin Orthop 1990;256:3-6.
2. Achterman C, Kalamchi A. Congenital deficiency of the fibula. J Bone Joint Surg 1979;61-B(2):133-7.
3. Aitken GT. Amputation as a treatment for certain lower-ekstremity congenital abnormalities. J Bone Joint Surg
1959; 41-A:1267-85.
4. Amstutz HC. Natural history and treatment congenital absence of the fibula. J Bone Joint Surg 1972;54-A:1349.
5. Bohne WHO. Hypoplasia of the fibula. Clin. Orthop
1977;125:107-12.
6. Davidson WH, Bohne WHO. The syme amputation in children .J Bone Joint Surg 1975; 57-A: 905-9.
7. Green WB, Cary JM. Partial foot amputations in children. A comparison of the several types with the Syme
amputation. J Bone Joint Surg 1982; 64-A:438-43.
Syme Amputasyonu
A. Kapukaya ve ark.
8. Epps HC. Amputation of the lower limb. In: Ed. C. McC Evarts. ed.2; New York, Churchill Livingstone 1999; Vol. 5;
138.
9. Wagner FW. Amputations of the foot and ankle current
status. Clin Orthop 1977;122:62.
10. Sarmiento A. A modified surgical-prosthetic approach to the syme's amputation :a follow-up report. Clin Orthop
1972;85:11.
11. Hulnick A, Highsmith C, Boutin FJ. Amputation for failure in reconstructive surgery. J Bone Joint Surg 1949;31-A:
639.
12. Spittler AW, Brennan JJ. Syme amputation performed in two stages. J Bone Joint Surg 1954;36-A:37.
13. Baker GCW, Stableforth PG. Syme's amputation: a review of sixty- seven cease. J Bone Joint surg 1969;51-B:482.
14. Harris RI. Syme's amputation. J Bone Joint Surg 1956;38-B:
614.
15. Jakobsen ST, Crawford AH. The Syme amputations in patients with congenital pseudarthrosis of the tibia. J Bone
Joint Surg 1983; 65-A: 533-7.
16. Laughlin RT, Chambers RB. Syme amputation in patients with diabetes mellitus. Foot-Ankle 1993;14:65-70.
17. Choi IH, Kumar SJ, Bowen JR. Amputation or limb-lengthening for partial or total absence of the fibula. J Bone
Joint Surg 1990;72-A:1391-9.
18. Anderson L, Westin GW. Syme amputation in children: indications, result, and long-term follow-up. J Pediatric
Orthop. 1984;4(5): 550-4.
19. Francis H, Robert JR, Clagett GB. The Syme amputation: succes in elderly diabetic patients with palpable ankle pulse. J Vasc Surg 1990;12(3): 237-40.
20. Wu K. Kent.:Amputations. In: Surgery of the Foot.
Philadelphia. 1976:237-45.
21. Eilert RE, Jayakumar SS. Boyd and Syme amputations in children. J Bone Joint Surg 1976; 58-A: 1138-41.

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