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Syme'S two stage amputation in diabetic dysvascular disease.

Diabetic dysvascular disease often results in tissue gangrene and a below or above knee amputation. The energy expenditure in such amputees required for ambulation with a prosthesis is often so great as to markedly diminish their ambulatory ability. Using Doppler arterial pressure measurements to evaluate amputation level, Syme's two stage ankle disarticulations were performed in 10 patients with only one failure.