Elective amputation, Symes vs. BKA
Barry Steineman, CPO
Description
Collection
Title:
Elective amputation, Symes vs. BKA
Creator:
Barry Steineman, CPO
Date:
12/21/2006
Text:
Dear Colleagues:
I have a 30 year old male patient with long-standing disability of both lower extremeties due to congenital tethered spinal cord with resultant insensate feet and progressive foot deformities. He'd had multiple surgeries over his lifetime and finally opted for a Symes amputation on the right to eliminate the worse of the two feet. I fit him with a window opening carbon socket and a carbon energy storing foot and he's been virtually problem free on that side for the last four years. He now is interested in going on to amputation of his left foot and move forward with his life, hopefully achieving a higher level of function and staying out of surgery (he's had a total of 35 reconstructive surgeries of his feet.) He has never been able to run, but is in very good physical condition outside of his sound foot deforminty and wounds. He's wondering if he might have better componentry selection going with a BKA amp versus becoming bilateral Symes. I certainly covered all !
the conventional wisdom re:barefoot standing without prosthesis,energy expenditure, weight bearing BK vs. Symes, etc. Long story short, do any of you have a patient who has undergone elective bilateral amputations and can give this young man some insight as to how well they chose their level of amputation(s)? We're talking outcomes, pros and cons, etc.
I sincerely appreciate any contact information you can provide.
Thank you,
Barry Steineman, CPO/LPO
OPC
Toledo, Ohio
419-531-2222
________________________________________________________________________
Check out the new AOL. Most comprehensive set of free safety and security tools, free access to millions of high-quality videos from across the web, free AOL Mail and more.
I have a 30 year old male patient with long-standing disability of both lower extremeties due to congenital tethered spinal cord with resultant insensate feet and progressive foot deformities. He'd had multiple surgeries over his lifetime and finally opted for a Symes amputation on the right to eliminate the worse of the two feet. I fit him with a window opening carbon socket and a carbon energy storing foot and he's been virtually problem free on that side for the last four years. He now is interested in going on to amputation of his left foot and move forward with his life, hopefully achieving a higher level of function and staying out of surgery (he's had a total of 35 reconstructive surgeries of his feet.) He has never been able to run, but is in very good physical condition outside of his sound foot deforminty and wounds. He's wondering if he might have better componentry selection going with a BKA amp versus becoming bilateral Symes. I certainly covered all !
the conventional wisdom re:barefoot standing without prosthesis,energy expenditure, weight bearing BK vs. Symes, etc. Long story short, do any of you have a patient who has undergone elective bilateral amputations and can give this young man some insight as to how well they chose their level of amputation(s)? We're talking outcomes, pros and cons, etc.
I sincerely appreciate any contact information you can provide.
Thank you,
Barry Steineman, CPO/LPO
OPC
Toledo, Ohio
419-531-2222
________________________________________________________________________
Check out the new AOL. Most comprehensive set of free safety and security tools, free access to millions of high-quality videos from across the web, free AOL Mail and more.
Citation
Barry Steineman, CPO, “Elective amputation, Symes vs. BKA,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 2, 2024, https://library.drfop.org/items/show/227686.
