title: [The value of the Syme amputation in selected cases of diabetic foot].
abstract: The aim of this paper was to assess the surgical and functional results of Syme's amputation in patients with infected necrosis of the fore- and midfoot caused by diabetes. The material consisted of 5 patients (4 men) age ranging from 44 to 78 years. No stump healing was achieved in a 44 year old man with arteriosclerosis who did not agree to a higher amputation. Prostheses were implemented in patients whose wounds healed 3-6 weeks after surgery. Follow-up period ranged from 2 to 6 years. Three patients died 4-5.5 years after surgery. One patient (equipped with a prosthesis) was observed for a period of 2 years, after which she gave up further medical care. One patients is doing well and using his prosthesis 6 years after surgery. In selected cases of diabetic foot, the Syme's amputation is a useful method of treatment, both from a surgical and functional aspect.
authors.affiliation: Oddział Septyczny Specjalistycznego Centrum Rehabilitacji i Leczenia Schorzeń Narzadu Ruchu im. prof. Mariana Weissa w Konstancinie.
authors.forename: Krzysztof
authors.initials: K
authors.lastname: Wasiak
authors.forename: Krzysztof
authors.initials: K
authors.lastname: Jagodziński
authors.forename: Elzbieta
authors.initials: E
authors.lastname: Gmitrzak-Trzeszczkowska
authors.forename: Paweł M
authors.initials: PM
authors.lastname: Paczkowski
authors.forename: Janusz
authors.initials: J
authors.lastname: Garlicki
mesh_terms: D000368:Aged; D000671:Amputation, Surgical / Q000379:methods* / Q000592:standards*; D000672:Amputation Stumps; D001186:Artificial Limbs; D017719:Diabetic Foot / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013530:Surgical Wound Infection / Q000601:surgery; D013997:Time Factors; D016896:Treatment Outcome