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
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.