{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T11:32:25Z","timestamp":1790249545938,"version":"4.1.0"},"reference-count":39,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[1994,1,1]],"date-time":"1994-01-01T00:00:00Z","timestamp":757382400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Foot Ankle Int."],"published-print":{"date-parts":[[1994,1]]},"abstract":"<jats:p>In an attempt to prevent migration of the heel pad, 11 patients underwent a combined Syme's amputation and Achilles tendon tenodesis between December 1989 and April 1992. Ten patients healed the Syme's amputation, and one patient failed to heal the surgical wounds and required a below-knee amputation. In all 10 successful Syme's cases, the heel pad has remained stable with no migration, and no skin breakdown at an average follow-up of 18.5 months. Published series of Syme's amputations report that the incidence of heel pad migration is between 7.5% and 45%, and occurs primarily in the postoperative or early rehabilitation stage. We believe that tenodesis of the Achilles tendon is a technically easy addition to the Syme's amputation, that it keeps tension off of the incision during healing, and that it prevents migration of the heel pad.<\/jats:p>","DOI":"10.1177\/107110079401500104","type":"journal-article","created":{"date-parts":[[2013,3,3]],"date-time":"2013-03-03T03:31:12Z","timestamp":1362281472000},"page":"14-17","source":"Crossref","is-referenced-by-count":23,"title":["Achilles Tendon Tenodesis to Prevent Heel Pad Migration in the Syme's Amputation"],"prefix":"10.1177","volume":"15","author":[{"given":"Douglas G.","family":"Smith","sequence":"first","affiliation":[{"name":"Harborview Medical Center, The Prosthetics Research Study, and the Seattle VA Medical Center, Seattle, Washington."},{"name":"Assistant Professor of Orthopaedic Surgery, University of Washington, 325 Ninth Ave, ZA-48, Seattle, Washington 98102."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruce J.","family":"Sangeorzan","sequence":"additional","affiliation":[{"name":"Harborview Medical Center, The Prosthetics Research Study, and the Seattle VA Medical Center, Seattle, Washington."},{"name":"Associate Professor of Orthopaedic Surgery, University of Washington."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr.","given":"Sigvard T.","family":"Hansen","sequence":"additional","affiliation":[{"name":"Harborview Medical Center, The Prosthetics Research Study, and the Seattle VA Medical Center, Seattle, Washington."},{"name":"Professor of Orthopaedic Surgery, University of Washington."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ernest M.","family":"Burgess","sequence":"additional","affiliation":[{"name":"Harborview Medical Center, The Prosthetics Research Study, and the Seattle VA Medical Center, Seattle, Washington."},{"name":"Clinical Professor of Orthopaedic Surgery, University of Washington, and Principal Investigator of the Prosthetics Research Study."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[1994,1,1]]},"reference":[{"key":"bibr1-107110079401500104","first-page":"422","volume":"26","author":"Alldredge R.H.","year":"1946","journal-title":"Surg. 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