Michailevich M, Lebel E, Itzchaki M
Dept. of Orthopedics, Shaare Zedek Medical Center, Jerusalem.
Harefuah. 2000 Mar 1;138(5):357-9, 423.
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.
对于伴有周围血管疾病的糖尿病患者足部感染行Syme踝关节离断术往往不成功。再次截肢的必要性通常源于足跟后皮瓣反复感染或缺血。我们报告了5例糖尿病患者深部足部感染的病例，这些患者在局部清创失败后接受了Syme截肢术。所有患者均因皮瓣缺血在4至18天内需要再次截肢。
