Westin G W, Sakai D N, Wood W L
J Bone Joint Surg Am. 1976 Jun;58(4):492-6.
Congenital longitudinal deficiency of the fibula presented two major problems in management: severe shortening of the limb and equinovalgus deformity of the ankle and foot. When the deformity was severe, our attempts at reducing the deformities of the foot and ankle with soft-tissue procedures and our attempts at achieving limb-length equality with various lengthening procedures were unsuccessful. Our best results in these patients were achieved with an early Syme amputation. The pattern of the deformity and the determination of the growth inhibition factor in the involved limb now enable us to make an early estimate of the deformity and plan appropriately. Syme amputation is definitive and allows the patient to have nearly normal function of the limb and a prosthesis of excellent appearance.
肢体严重短缩以及踝足马蹄外翻畸形。当畸形严重时，我们尝试通过软组织手术来矫正足踝畸形，以及通过各种延长手术来实现肢体长度均等，但均未成功。对于这些患者，早期进行Syme截肢术取得了最佳效果。畸形模式以及患侧肢体生长抑制因素的确定，现在使我们能够早期预估畸形并做出恰当规划。Syme截肢术是一种确定性手术，能让患者肢体功能近乎正常，且佩戴外观优良的假肢。
