Abstract:
BACKGROUND:In the decision-making process toward an amputation of the lower extremity, knowledge about patient-related outcomes after amputation and rehabilitation is important. We have not found a systematic review that provides this knowledge for Syme amputation. The aim of this study was to present an overview of outcomes after a Syme amputation grouped according to the International Classification of Functioning, Disability and Health (ICF) model, focusing on body structures and functions, activities, and participation. METHODS:A systematic literature search was performed. Included studies went through 2 selection procedures by 2 independent assessors. Included were all studies concerning Syme amputation with patient-related outcomes. RESULTS:Thirty-six studies were included for data extraction, concerning 1056 patients (238 children and 818 adults). Heel pad migration was reported in 49 of 176 (28%), skin problems in 23 of 128 (18%), and bone problems in 42 of 145 (29%) children. No reamputations were reported. All children were fitted with a prosthesis, and 62 of 90 (69%) children participated in sports. Skin problems were reported in 35 of 195 (18%), ulceration or infection in 120 of 512 (23%), residual limb pain in 46 of 181 (25%), and reamputations in 180 of 919 (20%) adults. In total, 247 of 363 (68%) adults were fitted with a prosthesis. Walking aids were used by 45 of 135 (33%) adults. Employment status was unchanged in 147 of 209 (72%) adults. CONCLUSION:In children, no reamputations were necessary and few complications were reported, with good participation in daily life in the majority of children. In adults, more complications and reamputations were reported; nevertheless, most adult amputees became successful prosthesis users. LEVEL OF EVIDENCE:Therapeutic Level III, systematic review containing retrospective cohort studies.
journal_name
Foot Ankle Intjournal_title
Foot & ankle internationalauthors
Braaksma R,Dijkstra PU,Geertzen JHBdoi
10.1177/1071100717745313subject
Has Abstractpub_date
2018-03-01 00:00:00pages
284-291issue
3eissn
1071-1007issn
1944-7876journal_volume
39pub_type
杂志文章abstract:BACKGROUND:Proximal chevron osteotomy with a distal soft tissue procedure has been widely used to treat moderate to severe hallux valgus deformities. However, there have been no studies comparing the results of proximal chevron osteotomy between patients with moderate and severe hallux valgus. We compared the results o...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2012.0637
更新日期:2012-08-01 00:00:00
abstract::Arthritis of the fourth and fifth tarsometatarsal joints, recalcitrant to nonoperative treatment, presents a difficult clinical situation. As part of the lateral rays, these joints have considerable motion, making fusion a very disabling operation. Between 1990 and 1998, 12 patients, who had failed nonoperative treatm...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070202300512
更新日期:2002-05-01 00:00:00
abstract::Unlike the Achilles tendon, the posterior tibial tendon does not typically undergo acute rupture. We report two cases of posterior tibial tendon tears occurring in young, athletic individuals (<30 years old) that required operative intervention before the patients could return to competitive sports. We believe that th...
journal_title:Foot & ankle international
pub_type: 杂志文章,评审
doi:10.1177/107110079801900911
更新日期:1998-09-01 00:00:00
abstract::We describe three cases of low-energy injuries to the midfoot resulting in rupture of Lisfranc's ligament without tarsometatarsal injury. Examination of the feet revealed an obvious physical sign only on weightbearing, and all three patients were noted at surgery to have intercuneiform instability in association with ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079902000912
更新日期:1999-09-01 00:00:00
abstract:BACKGROUND:Along with the recent advances in the pharmacological management of rheumatoid arthritis, there is a trend toward the use of joint-preserving surgery in the treatment of rheumatoid forefoot deformities. However, the clinical outcomes of joint-preserving surgery for rheumatoid forefoot deformities have not be...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100715609981
更新日期:2016-03-01 00:00:00
abstract:BACKGROUND:Nonunion risk factor identification and modification are subjective. We describe and validate a predictive nonunion risk factor model to identify foot and ankle operative patients at risk for nonunion. MATERIALS AND METHODS:One hundred international experts in foot and ankle surgery were surveyed. Nineteen ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100715577789
更新日期:2015-08-01 00:00:00
abstract:BACKGROUND:Talonavicular fusion is performed for a variety of indications. This study examined the effects of fixation techniques on plantar pressures, construct stiffness, and strength. MATERIALS AND METHODS:Eight matched pairs of cadaveric lower extremities were axially loaded intact and after talonavicular fixation...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI-2009-0150
更新日期:2009-02-01 00:00:00
abstract:BACKGROUND:Patients with arthritis or severe dysfunction involving both the ankle and subtalar joints can benefit from tibiotalocalcaneal (TTC) arthrodesis or total ankle replacement and subtalar fusion. TTC fusion is considered by many as a salvage operation resulting in a stiff ankle and hindfoot, considerably limiti...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100716642751
更新日期:2016-07-01 00:00:00
abstract:BACKGROUND:Correction of hallux valgus deformity with distal chevron osteotomy is limited by the amount of lateral translation achieved. Since 1999, the senior author has performed a modified technique referred to as increased displacement distal chevron osteotomy in which the distal fragment is translated laterally as...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2008.0155
更新日期:2008-02-01 00:00:00
abstract:BACKGROUND:Osteonecrosis of the talar body is a challenging problem for both patient and surgeon. One reconstruction option is an arthrodesis of the tibia to the talar neck, as described by Blair, which has the theoretical advantages of salvaging some hindfoot height and motion of the subtalar joint. A few case series ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070302401005
更新日期:2003-10-01 00:00:00
abstract:BACKGROUND:Rheumatoid arthritis (RA) can cause significant forefoot disorders. If forefoot deformity and pain are severe, surgical treatment can be considered. The aim of this study was to analyze the long-term outcomes of surgical forefoot correction per Tillmann, which involves resection of the metatarsal heads throu...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100719840814
更新日期:2019-07-01 00:00:00
abstract::An intramedullary fixation device was devised by the senior author (K.A.J.) to use in conjunction with a previously described method for tibiotalocalcaneal arthrodesis. Satisfactory results were obtained in approximately 87% of the initial 30 patients; union was radiographically or clinically evident in all but two pa...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079401501208
更新日期:1994-12-01 00:00:00
abstract::We compared the pressure distribution in the ankle and posterior facet of the subtalar joint following 1 cm medial and lateral displacement calcaneal osteotomies to the pressure distribution in the intact foot. Six cadaver specimens were loaded in neutral alignment while pressure measurements were recorded. A 1-cm med...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070102201105
更新日期:2001-11-01 00:00:00
abstract:BACKGROUND:Computer Assisted Surgery (CAS) has shown the potential to increase the accuracy of surgical procedures in different fields of orthopedic surgery. The clinical experiences of 100 cases with CAS guided arthrodeses were evaluated. MATERIALS AND METHODS:Two navigation systems were used (VectorVision/Navivision...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2008.1235
更新日期:2008-12-01 00:00:00
abstract::Percutaneous axial extensometers were mounted on the medial cortex of the midtibial diaphysis in seven male volunteers and the effect of three different shoes on in vivo peak-to-peak axial compression-tension strains measured during dynamic loading. Zohar shoes had lower axial strains and strain rates during treadmill...
journal_title:Foot & ankle international
pub_type: 临床试验,杂志文章
doi:10.1177/107110079801900206
更新日期:1998-02-01 00:00:00
abstract:BACKGROUND:Insertional Achilles tendinopathy and retrocalcaneal bursitis is difficult to treat, and several operative techniques have been used after failure of conservative management. Dorsal wedge calcaneal osteotomy has been described for the treatment of insertional Achilles pathology. It was hypothesized that dors...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100716681139
更新日期:2017-04-01 00:00:00
abstract:BACKGROUND:Although cross-sectional biomechanical studies have reported that wearing high-heeled shoes can change the musculoskeletal system of the lower extremities, the long-term effects of wearing such shoes on the ankle remain unknown. The aim of this study was to reveal changes in ankle range of motion and muscle ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100712468562
更新日期:2013-03-01 00:00:00
abstract::Fifty embalmed human tibias were osteotomized to create a simulated vertical shear (supination-adduction) fracture of the medial malleolus and were stabilized using one of five internal fixation techniques. In offset axial testing, which simulated supination-adduction loading, the fixation strength of tibias stabilize...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079401500905
更新日期:1994-09-01 00:00:00
abstract::Seven fresh-frozen cadaver specimens had a calcaneal osteotomy performed obliquely through the posterior portion of the calcaneus. Angular relationships between the first metatarsal and talus were recorded with the use of a motion-analysis system in the transverse, sagittal, and coronal planes. The specimen was mounte...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079801900606
更新日期:1998-06-01 00:00:00
abstract::Bilateral symmetrical Achilles tendon ossification is presented, with a fracture on one side. A 57 year old male patient was conservatively treated for bilateral clubfeet in his childhood. Part of his Achilles tendons were replaced by ectopic bony mass and on the left it fractured without any trauma. The fracture was ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070002101206
更新日期:2000-12-01 00:00:00
abstract::Six patients with ankle joint destruction and delayed metaphyseal union after tibial plafond fracture were surgically treated with tibiotalar arthrodesis and metaphyseal reconstruction, using a fixed-angle cannulated blade-plate. The procedure was performed through a posterior approach in five cases and a lateral appr...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079902000606
更新日期:1999-06-01 00:00:00
abstract::Bilateral weightbearing anteroposterior and lateral radiographs were analyzed in 43 patients with a clinical diagnosis of posterior tibial tendon insufficiency by two independent observers. The radiographs of each patient's asymptomatic foot was considered to serve as the control for the preexistance of pes planus. Th...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079701800208
更新日期:1997-02-01 00:00:00
abstract::The free vascularized fibula graft has been an increasingly useful tool in orthopaedic surgery. In addition to its many applications, the reported low donor site morbidity has helped make this a popular treatment modality. Isolated flexor hallucis longus flexion contracture has been reported in the literature; however...
journal_title:Foot & ankle international
pub_type: 杂志文章,评审
doi:10.1177/107110079501601004
更新日期:1995-10-01 00:00:00
abstract:BACKGROUND:Despite multiple techniques to improve syndesmotic reduction accuracy, syndesmotic malreduction in unstable ankle fractures remains prevalent. We performed a prospective, observational study to assess the ability of intraoperative multidimensional fluoroscopy to lead a surgeon to change the syndesmotic reduc...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100720959025
更新日期:2020-09-18 00:00:00
abstract:BACKGROUND:A recent publication reported preoperative Patient-Reported Outcomes Measurement Instrumentation System (PROMIS) scores to be highly predictive in identifying patients who would and would not benefit from foot and ankle surgery. Their applicability to other patient populations is unknown. The aim of this stu...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100718765225
更新日期:2018-07-01 00:00:00
abstract:BACKGROUND:The presence of metatarsus adductus can complicate hallux valgus surgery. It reduces the gap between the first and second metatarsal and can restrict the transposition of the first metatarsal head. It also confounds the measurement of the first second intermetatarsal angle. MATERIALS AND METHODS:Twenty-seve...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2010.0220
更新日期:2010-03-01 00:00:00
abstract:BACKGROUND:This study aimed to investigate the widening between the first cuneiform (C1) and second metatarsal (M2) in a Lisfranc ligamentous complex (LLC) joint injury model subjected to successive ligament dissections evaluated by weightbearing computed tomography (CT) scans. METHODS:Twenty-four intact cadaveric fee...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100720938331
更新日期:2020-11-01 00:00:00
abstract::The strain changes of the central part of the anterior talofibular ligament (ATFL), the posterior talofibular ligament (PTFL), the calcaneofibular ligament (CFL), and the tibiocalcaneal ligament (TCL) were measured simultaneously for a full range of ankle motion. Twelve fresh frozen amputated ankles were used. To meas...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070202300909
更新日期:2002-09-01 00:00:00
abstract::Dislocation of the interphalangeal joints of the lesser toes is an uncommon injury, and complex (irreducible) dislocation has rarely been reported. All previous reports note that, during open reduction, the volar plate is interposed within the joint, thereby blocking reduction. In this case, the medial collateral liga...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079401501110
更新日期:1994-11-01 00:00:00
abstract::The purpose of this study was to evaluate the biomechanical properties of commonly used autogenous transplants for the surgical stabilization of chronic lateral ankle instability. We dissected the transplants (peroneus longus, peroneus brevis, Achilles and plantaris tendon, periosteal flap, fascia, corium) and the ant...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070202300714
更新日期:2002-07-01 00:00:00