Ankle - Syme's Amputation
This Ankle – Syme’s Amputation course will teach you:
- To completely remove the foot. Indications for the procedure include severe trauma to the limb, poor blood flow to the limb, severe and ongoing infections, tumors, severe burns or frostbite and loss of function.
Special attention is paid to the following hazards you may encounter during the Ankle – Syme’s Amputation:
- Posterior tibial artery preservation
- Skin flap vascularization during dog ear correction
With the following tips you might perform the Ankle – Syme’s Amputation even better:
- Incision line position
- Talus manipulation for greater exposure using a Steinmann pin
After studying the Ankle – Syme’s Amputation course you are familiar with the most common complications:
- Hematoma
- Stump edema
- Ischemia
- Infection
- Phantom pain
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Step by step
Deep fascial exposure
Skin
Mark
Mark the skin inferior to the malleoli and connect these points over the anterior side of the ankle in a straight line. Distally, two lines are drawn from the points inferior to the malleoli over the plantar side and these two are connected. This newly drawn line has to run approximately at the level of the calcaneocuboid joint.
Incision line position
The incision line positioned over the anterior side of the ankle should not be placed more proximal than the distal border of the tibia. While incising the plantar line, it is advisable to keep the length of the plantar flap too long which can be shortened and remodeled later on. These are both in order to be able to close the wound.
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