Leg-length inequality in children treated by Syme's amputation.

Abstract

We have reviewed the results of amputation through the ankle in the management of 37 children with congenital leg-length discrepancy, followed up for a mean of 7.6 years after operation. In general good function was achieved and 18 patients considered their activities to be unrestricted. The main factor affecting the functional result was the underlying condition for which operation had been performed. Although heel pad migration, scar rotation and os calcis remnants were seen, these could be accommodated by the prosthesis. Syme's amputation is tolerated well in the younger child and, in patients with a predicted leg-length discrepancy of over 15 cm associated with an abnormal foot, we recommend the operation as a primary procedure between the ages of 18 months and two years.

• Authors: C M Fergusson, J D Morrison, J Kenwright
• Journal: The Journal of bone and joint surgery. British volume (J Bone Joint Surg Br) Vol. 69 Issue 3 Pg. 433-6 (May 1987) ISSN: 0301-620X [Print] England
• PMID: 3584199 (Publication Type: Journal Article)

Topics

• Activities of Daily Living
• Adolescent
• Adult
• Amputation, Surgical (methods, rehabilitation)
• Artificial Limbs
• Bone Diseases, Developmental (complications)
• Child
• Child, Preschool
• Follow-Up Studies
• Humans
• Leg Length Inequality (etiology, surgery)
• Locomotion