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At least 199 records · Page 11Linked to original sources
PubMed2006

A review of the aetiological factors and results of trans-ankle (Syme) disarticulations.

INTRODUCTION: Ever since James Syme described his amputation at the ankle joint, most authors have agreed that Syme's amputation should not be considered for patients with diabetic vascular disease (DVD). The aim of the study was to record our experience with Syme's amputations and to search for any predictive criteria that may enhance successful results. PATIENTS AND METHODS: Seventy patients underwent a Syme amputation between the years 1980 and 2000 in our department, 51 owing to DVD. The other 19 patients had their amputations because of other pathologies. RESULTS: The 19 patients of the non-DVD group showed a success rate of 94.7% (18/19). The overall success rate of the DVD patients was 49% (25/51). When we analysed the DVD group by age, the cut-off point was 65 years old. Patients aged 65 or less had a success rate of 68.2% (15/22), and over the age of 65 years the success rate was only 30.8% (8/26). CONCLUSIONS: Patients with DVD should be considered good candidates for a Syme amputation if they are younger than 65 years old.

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PubMedDate not supplied

A case report on the collaboration of health care professionals in fitting and training seven Iraqi clients with right wrist disarticulations 9 years postamputation.

In 1995, seven men from Iraq had their right hands surgically amputated under the regime of Saddam Hussein. The men have lived with the shame, that is associated with missing a right hand in their culture, since that time. Recently, the media and a team of health care providers collaborated to bring these seven men to Houston, Texas, for surgical revisions, prosthetic hands, and occupational therapy services. The preprosthetic, interimprosthetic, and postprosthetic interventions are discussed, as well as the typical time frames for each. This case report outlines the time restrictions that were placed on the health care team and demonstrates the continuous collaborative approach between occupational therapists, prosthetists, and other health care professionals, which contributed to the initial successful outcomes for these men.

Artificial Limbs↗