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CHAPTER 30
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The Child with a Limb Deficiency
FIGURE 30-15.
Boyd Amputation with Osteotomy of the Tibia for Fibular Deficiency.
The incision and the initial
exposure for the Boyd amputation is the same as for the Syme amputation through the release of the posterior ankle
capsule. At this point, the foot is amputated through the midtarsal joints (calcaneocuboid and talonavicular). Because the
forefoot provides a good handle by which to control the hindfoot, it is easiest to dissect most of the talus free and section
the Achilles tendon, if possible, before removing the forefoot.
Boyd Amputation with Osteotomy of the Tibia for Fibular Deficiency (Figs. 30-15 to 30-18)
