Syme's amputation 27888

synonyms:

Syme's amputation CPT

• 27888 Amputation, ankle, through malleoli of tibia and fibula (eg, Symes, Pirogoff type procedures), with plastic closure and resection of nerves

Syme's amputation Indications

• H

Syme's amputation Contraindications

Syme's amputation Alternatives

Syme's amputation Pre-op Planning

• In order to perform a Syme's amputation, the heel fat pad must be intact.  In addition, patients who are concerned about the cosmetic result of their surgery often find a below-knee amputation more cosmetically acceptable than a Syme's amputation because the ankle thickness in a below-knee prosthesis can resemble that of a normal ankle and the foot will often fit into regular shoe wear.  The prosthesis for a Syme's amputation has a large, broad ankle portion that extends distally as a continuation of the brace rather than the shoe, and is often cosmetically unacceptable to patients. Laughlin RT, Chambers RB: Syme amputation revisited: A review of 46 cases.  J Bone Joint Surg 1996;78B:461-467.

Syme's amputation Technique

• S

Syme's amputation Complications

Syme's amputation Follow-up care

• Post-op:
• 7-10 Days:
• 3 Weeks:
• 6 Weeks:
• 2 Months:
• 3 Months:
• 6 Months:
• 1Yr:

Syme's amputation Outcomes

• (R

Syme's amputation Review References

• Ro