title: [Syme amputation of the foot--is it appropriate for foot infections in diabetics?].
abstract: Syme ankle disarticulation for foot infections in diabetics with concomitant peripheral vascular disease is often unsuccessful. The need for re-amputation usually results from recurrent infection or ischemia of the posterior heel flap. We present 5 such cases of deep foot infections in diabetics who underwent Syme amputation after failure of local debridement. All patients needed reamputation in 4-18 days for ischemia of the flap.
authors.affiliation: Dept. of Orthopedics, Shaare Zedek Medical Center, Jerusalem.
authors.forename: M
authors.initials: M
authors.lastname: Michailevich
authors.forename: E
authors.initials: E
authors.lastname: Lebel
authors.forename: M
authors.initials: M
authors.lastname: Itzchaki
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000843:Ankle Joint; D003646:Debridement; D017719:Diabetic Foot / Q000150:complications* / Q000601:surgery*; D004188:Disarticulation / Q000379:methods*; D005260:Female; D006801:Humans; D007239:Infections / Q000150:complications* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D013524:Surgical Flaps