Weinstein Lovell and Winters Pediatric Orthopaedics 7e

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CHAPTER 30  |  The Child with a Limb Deficiency

Boyd Amputation with Osteotomy of the Tibia for Fibular Deficiency (Figs. 30-15 to 30-18)

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.