Syme type amputation: severe atriction with vasculonervous compromise due to crushing of concrete block

Abstract

The case of a 53-year-old male patient, a worker and farmer, who suffered a work accident, being crushed by a concrete block, which resulted in a serious injury to his right leg, is presented. After the evaluation and diagnosis of severe neurovascular  compromise,  it  was  decided  to perform a Syme-type  amputation. Despite  initial  surgical  intervention,  the  patient  developed  postoperative wound necrosis, requiring additional transtibial surgery. The case highlights the complications associated with Syme amputation, which, although a valid option in emergency situations, can present significant postsurgical difficulties, such as infections and necrosis. This report highlights the importance of  multidisciplinary management of postoperative follow-up, monitoring of complications; It is possible to improve both the  functionality and quality of life of the patient. Future research will deal with intelligent external prostheses, with the use of artificial neural networks and electromyographic  signals, with the help of artificial intelligence (AI).