Saleme CJ, Arizola CL, Capdevila LR, Haces GF

Language: Spanish
References: 16
Page: 79-84
PDF size: 148.68 Kb.

ABSTRACT

The pelvic limb amputations are a widely used surgical procedure. Most of these procedures in children are the result of longitudinal meromelias. Symes amputation or disarticulation of ankle consists of resection of the entire foot and the transverse osteotomy of the malleolus and another option for these companies is the transtibial amputation. We retrospectively reviewed the records of all patients undergoing these types of surgeries. Data were collected epidemiological, medical preoperative, postoperative, complications, need for revision surgery, prosthetic repair and adaptability. We found 66 patients (41 male and 23 female patients) who underwent are either of ablative procedures. Of these, 40 patients underwent for 41 Symes amputations and 24 to 25 transtibial amputations patients with an average age at the time of the procedure very similar to Syme 5.8 and 6.3 for transtibial. The discrepancy in limb length on average for Syme patients was 132 mm and 118 mm for transtibial amputees. There were four postoperative complications; transurgical or mediate for all amputations alterations consisted in delayed healing in two cases for Syme and major bleeding and dehiscence transtibiales for amputations. Patients undergoing Syme were clearly benefited the procedure because the average is 0.175 reoperations/patient, five repair in average in time of monitoring and .53 socket use/complication index. Those patients who underwent transtibial had reoperation ratio in .83, requiring repairs on average of 12 and obtained .68 socket use/complication index. Both amputations obtained k3 in average for adaptability degree in the prosthetic use, so, we conclude that Symes amputation procedure is clearly superior in terms of measurable parameters such as ablative surgery analyzed here against the transtibial.

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