Syme's amputation; the technical details essential for success.

نویسنده

  • R I HARRIS
چکیده

There is considerable divergence of opinion about the merits of Syme’s amputation. In some countries it is highly regarded ; in some it is neglected ; in others it even is roundly condemned. In Canada it is thought to be the best of all amputations of the lower extremity above the foot and has been used with consistent success since before the 1914-1918 war to the present day. Experience in Great Britain seems to have been different, for there is an influential and experienced body of opinion which condemns it and states that almost every Syme’s amputation of the 1914-1918 war has had to be converted to a below-knee stump because the Syme’s stump was unsatisfactory in various respects (Ministry of Pensions publication 1939). In the Amputation Centre in Nijmegen in the Netherlands Syme’s amputation is not performed. In the United States before the recent war Syme’s amputation was not highly regarded, but the International Conference on Amputations held in Ottawa and Toronto in March 1944 led to renewed interest in Syme’s amputation in the United States and several papers have since appeared to record the satisfaction of American orthopaedic surgeons with this special amputation. Such striking differences of opinion must be due to some fundamental difference in the technique of the amputation as performed in different countries. It is the purpose of this paper to set forth the technical details which we have found to be essential factors for success.

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عنوان ژورنال:
  • The Journal of bone and joint surgery. British volume

دوره 38-B 3  شماره 

صفحات  -

تاریخ انتشار 1956