Cottrell-Ikerd V, Ikerd F, Jenkins D W
College of Podiatric Medicine and Surgery, University of Osteopathic Medicine and Health Sciences, Des Moines, Iowa.
J Foot Ankle Surg. 1994 Jul-Aug;33(4):355-64.
In 1843, James Syme introduced an amputation which he believed had numerous advantages over more proximal amputations. Despite these claims, utilization of the Syme's amputation has been limited due to a less than ideal compatibility of the surgical result with prosthetic design and function. In this article, the history of the Syme's amputation is reviewed along with indications and surgical technique. Modifications to the original surgical procedure are discussed as well as advantages and disadvantages inherent to the Syme's amputation. A description of the biomechanical function of the residual limb/prosthesis and management of the Syme's amputee is provided emphasizing the quest for an ideal prosthesis which is found, could very well allow Dr. Syme's amputation to reach the potential as he had originally envisioned.
1843年，詹姆斯·西姆（James Syme）提出了一种截肢术，他认为该截肢术相对于更近端的截肢术有诸多优势。尽管有这些说法，但由于手术结果与假肢设计和功能的兼容性不尽如人意，西姆截肢术的应用一直受到限制。在本文中，我们回顾了西姆截肢术的历史以及适应证和手术技术。讨论了对原始手术方法的改良以及西姆截肢术固有的优缺点。还介绍了残肢/假肢的生物力学功能以及西姆截肢者的管理，强调了对理想假肢的追求，如果找到了理想假肢，很可能会让西姆医生的截肢术发挥出他最初设想的潜力。
