Syme amputation was performed to 19 patients admitted to Dicle University, Medical Faculty, Department of Orthopedics & Traumatology in between 1990-1994. Nine patients with diabetes or vascular diseases treated with Wagner’s two-stage technique. Median age of the patients was 33 years (4-63 years). Six of them were women, 13 were men. Of 19 patients, 7(%36) had fire gun-wound, 5 (%26) had diabetes, 4 (%21) had vascular diseases, 2 (%12) had occupational accident and 1 (%5) had fibular hemimelia type II. The follow-up period was approximately 11 months(3-36 months). There was no complication in 15 (%78) patients at early or late period of follow-up. The other 4 patients, 1 had calcaneal fat flap, 1had calcaneal pain and 2 patients with diabetes had infection within post-operative 14 days. Infection could not be controlled in these 2 patients, and they underwent below-knee amputation. [Journal of Turgut Ozal Medical Center 1997;4(2):143-146]
Key Word: Syme amputation
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