Ankle - Syme's Amputation
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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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