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Syme-Amputation bei Fersendefekten
KOLLER A; HAFKEMEYER U; WETZ H
ORTHOPADE , 2001, vol. 30, n° 3, p. 145-149 Doc n°: 101104 Localisation : Documentation IRR Descripteurs : DE861 - TRAITEMENT CHIRURGICAL - PIED, EB32 - AMPUTATION TRANSTIBIALE - AMPUTATION du PIED Syme's amputation with defective heel. 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. Langue : ALLEMAND Tiré à part : OUI Identifiant basis : 2001217052 |
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