Achilles tendon tenodesis to prevent heel pad migration in the Syme's amputation.

Abstract:

:In an attempt to prevent migration of the heel pad, 11 patients underwent a combined Syme's amputation and Achilles tendon tenodesis between December 1989 and April 1992. Ten patients healed the Syme's amputation, and one patient failed to heal the surgical wounds and required a below-knee amputation. In all 10 successful Syme's cases, the heel pad has remained stable with no migration, and no skin breakdown at an average follow-up of 18.5 months. Published series of Syme's amputations report that the incidence of heel pad migration is between 7.5% and 45%, and occurs primarily in the post-operative or early rehabilitation stage. We believe that tenodesis of the Achilles tendon is a technically easy addition to the Syme's amputation, that it keeps tension off of the incision during healing, and that it prevents migration of the heel pad.

journal_name

Foot Ankle Int

authors

Smith DG,Sangeorzan BJ,Hansen ST Jr,Burgess EM

doi

10.1177/107110079401500104

subject

Has Abstract

pub_date

1994-01-01 00:00:00

pages

14-7

issue

1

eissn

1071-1007

issn

1944-7876

journal_volume

15

pub_type

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