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Lecture Hall Diabetic Foot | Treatment

Decision Making and Technique in Syme's Transmalleolar Amputations

Available Credits
CPME 0.75

Ronald Sage
Ronald Sage, DPM, FACFAS
Professor and Chief Section of Podiatry
Department of Orthopedics and Rehabilitation
Loyola University School of Medicine
System Requirements Method of Participation Disclosure Information

This lecture by Ronald A. Sage, presents the indications, technique and complications associated with the Syme's Transmalleolar Amputation. The procedure is compared to other partial foot amputation techniques, and the possible complications of these various techniques are reviewed. Emphasis is placed on pre-surgical criteria for distal wound healing that should be used in making the decision to proceed with a Syme procedure. Possible causes of limb salvage failure besides breeching traditional criteria are reviewed. An effort is made to assist the listener in selecting patients with seriously infected or necrotic diabetic feet who would likely benefit from a distal amputation attempt versus a higher transtibial or transfemoral amputation. Outcome studies citing the speaker's experience with this procedure are presented.

Goal and Objective
After participating in this activity, the viewer should be better able to:
1. Understand the indications for the Symes transmalleolar amputation.
2. Preoperatively assess potential candidates for this procedure.
3. Understand the amputation technique.
4. Discuss outcomes in an evidence based manner.

Estimated time to complete this activity is 41 minutes.

Physicians, diabetes educators, and other health care professionals who treat patients with diabetes.
Accreditation and Designation of Credit
PODIATRY: The Ohio College of Podiatric Medicine(OCPM) is an approved sponsor of Continuing Podiatric Medical Education through the Council on Podiatric Medical Education (CPME).

The Ohio College of Podiatric Medicine credits this activity for 0.75 credit hour.

Release Date: 02/14/2008 Expiration Date: 12/30/2012
Peer Review: on 02/14/2008

System Requirements
Decision Making and Technique in Syme's Transmalleolar Amputations
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Method of Participation
Decision Making and Technique in Syme's Transmalleolar Amputations
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Complete the 4 steps to earn CE/CME credit:
  • Complete and submit the required pre-test
  • View Lecture
  • Complete and submit post-test and program evaluation. Credit will be issued with a passing score of 70% or better.
  • Click Print Certificate.
Disclosure Information
Decision Making and Technique in Syme's Transmalleolar Amputations
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It is the policy of PRESENT e-Learning Systems and it's accreditors to insure balance, independence, objectivity and scientific rigor in all its individually sponsored or jointly sponsored educational programs. All faculty participating in any PRESENT e-Learning Systems sponsored programs are expected to disclose to the program audience any real or apparent conflict(s) of interest that may have a direct bearing on the subject matter of the continuing education program. This pertains to relationships with pharmaceutical companies, biomedical device manufacturers, or other corporations whose products or services are related to the subject matter of the presentation topic. The intent of this policy is not to prevent a speaker with a potential conflict of interest from making a presentation. It is merely intended that any potential conflict should be identified openly so that the listeners may form their own judgments about the presentation with the full disclosure of the facts.
Ronald Sage, DPM, FACFAS Ronald Sage has disclosed that he receives Honorarium/Expenses from Pfizer