What is a Symes Prosthesis?
A Symes prosthesis is a specialized artificial foot and ankle device designed for individuals who have undergone a Symes amputation. Durrett's Orthotics & Prosthetics custom manufactures these, creating optimal fits that accommodate the unique anatomical characteristics of the Symes amputation site. Our team members are familiar with this type of amputation and the requirements for creating the proper prostheses for our clients.
History of the Symes Amputation
Dr. James Symes developed the Symes amputation in the 1840s as an alternative to higher-level leg amputations. This surgical procedure removes the foot at the ankle joint while maintaining the heel pad's fatty tissue and skin. The preserved heel pad serves as excellent weight-bearing tissue, offering advantages that higher-level amputations cannot provide.
Patients typically receive this amputation for several reasons: severe foot trauma from accidents, diabetic complications, infections that physicians can’t control through other treatments, or congenital limb differences. A Symes amputation allows individuals to maintain their natural leg length, with better balance than below-knee amputations.
The Design Features of a Symes Prosthesis
A Symes prosthesis uses effective design elements to accommodate the heel pad and ankle-level amputation. Its socket must distribute weight evenly across the heel pad while providing secure attachment. Most designs have a removable medial window or expandable socket to accommodate the bulbous end of the residual limb.
We customize the prosthetic foot component based on individual activity levels and preferences. Options range from basic SACH (Solid Ankle Cushion Heel) feet for basic activities to dynamic response feet that are mounted directly below the socket or to the back of it for more active users.
The socket is made of lightweight carbon fiber or thermoplastic materials, designed for durability and ease of movement. Depending on the residual limb shape, the suspension methods vary from simple friction fit to more advanced systems like locking mechanisms or suction valves.
The Benefits of a Symes Prosthesis
A Symes prosthesis provides considerable advantages over higher amputation levels. To start, heel pad weight-bearing encourages natural sensory feedback, improving balance and reducing the risk of falls. The preserved leg length also promotes normal walking patterns and reduces compensatory movements that can lead to back pain.
With proper fitting and adjustment, most users achieve excellent functional outcomes.
Symes Prosthesis Frequently Asked Questions
Q: How long does it take to receive a Symes prosthesis after amputation?
A. Typically, you can begin prosthetic fitting 6-8 weeks after surgery, once swelling has reduced and the incision has healed properly.
Q: Can I walk without the prosthesis?
A. Yes, many Symes amputees can bear weight directly on their heel pad for short distances, though that varies according to individual healing and tissue quality.
Q: What activities can I perform with a Symes prosthesis?
A. Walking, driving, and recreational activities are possible. Athletic activities may require specialized foot components.
Q: How often should the prosthesis be replaced?
A. Prosthetic feet typically last 3-5 years with regular use, while sockets may need replacement every 3-7 years once the limb has healed and matured. This depends on residual limb changes and wear patterns.
Q. Does insurance cover the Symes prosthesis?
A. Most insurance plans cover prosthetic devices when medically necessary, though coverage varies by provider and policy specifics.
Best Prosthetics Provider in Edgewood and Lawrenceburg
Our experienced team understands that every Symes amputation and prosthesis is unique, requiring specialized knowledge and careful attention to detail. At Durrett's Orthotics & Prosthetics, we combine expertise with modern technology to create custom Symes prostheses that prioritize comfort and function. Contact us for a consultation in Kenton County, Boone County, and Campbell County, KY. We also serve Dearborn County, IN, and the great Cincinnati, OH, area.
