Greene W B, Cary J M
J Bone Joint Surg Am. 1982 Mar;64(3):438-43.
We compared the results in fourteen children in whom part of the foot was amputated with the results in a similar group of patients who had a Syme amputation. Based on levels of activity, physical examination, prosthetic requirements, ratio of the length of the fore part of the foot to the hind part, and gait mechanics, we classified the children into three groups. In Group I (patients with a metatarsal ray or transmetatarsal amputation) the results were clearly superior to those in the group with Syme amputation. In Group II (patients with a Lisfranc, mid-tarsal, or Chopart amputation and no equinus contracture) the patients had better over-all function but needed to make greater adjustments for gait than did those with a Syme amputation. In Group III (patients with a Chopart amputation who had an equinus contracture and inadequate length of the fore part of the foot) the results were clearly inferior to those of patients with a Syme amputation.
我们将14名足部部分截肢儿童的结果与一组接受Syme截肢术的类似患者的结果进行了比较。根据活动水平、体格检查、假肢需求、足前部与后部长度之比以及步态力学，我们将这些儿童分为三组。在第一组（跖骨射线或经跖骨截肢患者）中，结果明显优于Syme截肢组。在第二组（Lisfranc、中跗或Chopart截肢且无马蹄足挛缩的患者）中，患者总体功能较好，但与Syme截肢患者相比，需要在步态方面进行更大的调整。在第三组（Chopart截肢且有马蹄足挛缩且足前部长度不足的患者）中，结果明显逊于Syme截肢患者。
