01/01/2018 · Syme and Boyd Amputations in Children

Important differences exist in the management of child and adult amputees. Many factors, including the etiology of childhood limb deficiencies, expected skeletal growth, functional demand on the locomotor system and prosthesis, appositional bone stump overgrowth, and psychological challenges, make caring for these young patients particularly challenging. Adherence to the general principles of childhood amputation surgery will typically guide one to the optimal functional result. These principles can be summarized as follows: (1) Preserve length. (2) Preserve important growth plates. (3) Perform disarticulation rather than transosseous amputation whenever possible. (4) Preserve the knee joint whenever possible. (5) Stabilize and normalize the proximal portion of the limb. (6) Be prepared to deal with issues in addition to limb deficiency in children with other clinically important conditions. A large proportion of young amputees undergo a Syme disarticulation, modified Boyd amputation, or knee disarticulation. A modified Van Nes rotationplasty procedure is also useful in this age group. All these provide the child with a weight-bearing stump with good growth potential and no complications due to bone overgrowth. Appropriate timing of amputation procedures and prosthetic fittings is essential to maximize functional benefit to the patient.

Boyd and Syme amputations in ..

Boyd and Syme ankle amputations in children - …

Boyd and Syme ankle amputations in children

Indications:
Chopart and Boyd (partial foot) amputation with well-healed incision. For amputations proximal to the midfoot requiring greatest toe lever at push off phase of gait.

Syme Vs. Boyd Amputation for Fibular Deficiency: a …

The Chopart and Boyd partial foot tibial tubercle height prosthesis is designed to permit better distribution of forces on the patient’s residual foot and little emphasis on cosmesis and greater on functional ambulation for the amputee with amputations above the midfoot.

The Symes amputation describes the amputation procedure in ..
19/12/2017 · Comparison of Gait After Syme and Transtibial Amputation in Children ..

The Boyd Amputation in Children: Indications and …

Lower Limb: Transtibial[21] PROSTHETIC DESIGN FOR THE PATIENT WITH DYSVASCULARBELOW-KNEE AMPUTATEEStanford Anzel, MD; Jacquelin Perry, MD; Edmund Ayyappa,MS, CPO; Lara Boyd, MPT; JoAnne Gronley, DPT; Sreesha Rao,MS; Ernie Bontrager, MS; Christopher Powers, PhD
Sponsor: PURPOSE--It has been assumed that with the advent ofthe dynamic elastic response feet to enhance push off,significant energy cost would be saved by those withtranstibial amputations.

The Boyd hindfoot amputation is a talectomy and calcaneal-tibial arthrodesis after forward ..

Syme's/Boyd prosthesis: a new modification

When a transmetatarsal amputation is not possible and a Syme or Boyd amputation ..

CPO, Inc. » Chopart and Boyd Partial Foot Prosthesis