title: Boyd amputation in adults.
abstract: BACKGROUND
  Foot ulcerations resulting in amputation are one of the most devastating consequences of diabetes mellitus and peripheral arterial disease. In foot amputations, Boyd amputation has been even less accepted than Syme amputation due to its dependence on calcaneotibial osseous union in adults.
  
  
  METHODS
  Fifteen Boyd amputations were performed for 14 adults. The indications for amputation were diabetic ulceration of the foot in eight patients, ischemic disease of the lower extremity in four and salvage of the deformed foot due to peripheral neuropathy in one patient. One patient with scleroderma had bilateral amputations due to digital ischemic necrosis.
  
  
  RESULTS
  Complete wound healing was documented in seven feet of six patients. Further revisions to a more proximal amputation level were required in seven patients.
  
  
  CONCLUSIONS
  Despite the high failure rate, we believe Boyd amputation is still a good option in some patients to try to preserve length.
authors.affiliation: Kocaeli University School of Medicine, Department of Orthopaedics and Traumatology, Umuttepe Merkez Kampüsü, 41380 Umuttepe, Kocaeli, Turkey. bilgehantosun@yahoo.com
authors.forename: Bilgehan
authors.initials: B
authors.lastname: Tosun
authors.forename: Levent
authors.initials: L
authors.lastname: Buluc
authors.forename: Umit
authors.initials: U
authors.lastname: Gok
authors.forename: Cigdem
authors.initials: C
authors.lastname: Unal
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000671:Amputation, Surgical / Q000379:methods*; D002111:Calcaneus / Q000098:blood supply / Q000601:surgery; D017719:Diabetic Foot / Q000601:surgery*; D005260:Female; D006801:Humans; D007511:Ischemia / Q000601:surgery*; D035002:Lower Extremity / Q000098:blood supply; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012189:Retrospective Studies; D016909:Tibial Arteries / Q000033:anatomy & histology / Q000000981:diagnostic imaging