Fibular deficiency and the indications for Syme's amputation.
Recent literature on the subject is reviewed, and the role of Syme's amputation, reconstructive surgery and prosthetic management is discussed in relation to the severity of the condition. Amputation, which should be performed between 18 months and two years old is specifically recommended for total fibula absence with ankle instability. The operative technique is detailed.
Division of Orthopaedic Surgery, University of California, School of Medicine, Los Angeles 90024-6902.
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Oppenheim
D000671:Amputation, Surgical / Q000379:methods*; D000843:Ankle Joint / Q000601:surgery; D001186:Artificial Limbs; D004188:Disarticulation; D005360:Fibula / Q000002:abnormalities* / Q000601:surgery; D006801:Humans; D007593:Joint Instability / Q000209:etiology