Boyd Amputation in Adults

Abstract

Despite the high failure rate, we believe Boyd amputation is still a good option in some patients to try to preserve length.

A Surgeon’s Perspective on Lower Extremity Amputation and Rehabilitation

“…The Boyd amputation, according to Boyd, is not only anatomically but also physiologically more advantageous to patients than other described amputations about the ankle [47]. The weight bearing stump removes the need for an artificial limb while simultaneously providing proprioceptive feedback to enhance rehabilitation and ambulation [48][49]. Although the idea of a distal amputation such as the Boyd is attractive to patients as it facilitates early weight bearing and maintains length it often results in revision surgery.…”

“…Although the idea of a distal amputation such as the Boyd is attractive to patients as it facilitates early weight bearing and maintains length it often results in revision surgery. The revision rates are documented as high as 50%, which would set a patient back drastically from a rehabilitation process [49]. Thus, a surgeon must have a high index of suspicion clinically for amputation success to make the decision to perform a Boyd amputation.…”

Vantagens na protetização de amputados transtibiais submetidos a técnias cirúrgicas não convencionais

“…A amputação de Boyd, uma variação da amputação de Syme, preserva o calcâneo, fundindo-o a tíbia (20) . Neste procedimento raramente ocorre a migração do coxim do calcâneo, porem esta técnica aumenta consideravelmente o período de tratamento no pós-operatório retardando o inicio do processo de protetização, além de diminuir o espaço entre coto de amputação e solo, podendo ser um problema para utilização de alguns pés protéticos.…”