Tucker-Syme Prosthetic Fitting in Young People

DAVID LYTTLE, MB, FRCS(C)*Winnipeg, Manitoba

As described by Cochran and Tucker in 1979, the Tucker-Syme prosthetic fitting is an open frame, self-suspending socket which offers improved comfort and appearance, lightness and moisture resistance. The Tucker-Syme foot is molded in one-piece poIyurethane foam and mates to the socket by a dense urethane rubber keel. Strip casting is used to fabricate the flexible laminate socket with long medial and lateral fenestrations.

Seventeen patients younger than 20 have been fitted with various types of Syme's prostheses and followed for an average period of 10.4 years. Eight had Canadian Syme's sockets, two slip sockets, one silastic socket and six Tucker-Syme sockets. Nine had trauma, two burns and one neurofibromatosis. Five had ankle disarticulation for congenital malformations. Patients with proximal femoral focal deficiency were excluded. Comfortable and fully functioning Tucker-Syme prosthetic fitting was obtained in all of those attempted. Patients with very prominent malleoli, insensitive or markedly displaced heel pads or adherent skin-grafted areas were not accepted for fitting. Buckling of the anterior socket wall or foot breakage occurred only after several years of active use. The Tucker-Syme fitting suits most children and adults who would have been fitted with a Canadian Syme's prosthesis.

*Rehabilitation/Respiratory Hospital, 800 Sherbrook Street, Winnipeg, Manitoba R3A 1M, Canada