Syme's Amputation in Children: A Retrospective Review

Description

The presentation delivered by Amir Varasteh focuses on Syme's amputation in children, exploring the history, procedures, indications, complications, and outcomes of this surgical intervention. Originally introduced by James Syme in 1842, this amputation technique has evolved, now primarily utilized for congenital malformations in the pediatric population. The procedure entails disarticulating the tibio-talar joint, involving multiple components like the Tendo-Achilles tenotomy and careful preservation of neurovascular structures to maintain the viability of the stump.



Varasteh shares visual aids including images of the procedure and post-surgical healing, demonstrating the impact of the surgery on mobility, with many patients achieving prosthetic compatibility. The study aims to evaluate complications and long-term functional outcomes, gathering data from 20 pediatric patients treated over 13 years. Key findings reveal a low rate of significant post-operative complications and emphasize the importance of a multidisciplinary approach in rehabilitation, particularly in relation to prosthetic services.



The presentation addresses psychological aspects associated with limb loss, citing issues such as bullying and self-harm in some patients, pointing to the need for assessing both physical and psychological recovery. Varasteh concludes by advocating for Syme's amputation as a viable option for children with severe congenital malformations, underlining its potential for positive long-term outcomes.

DOI: 10.1302/3114-221930

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