Local build Rs 110,000 to 200,000
Laminated socket with a removable window and a low-profile SACH Syme's foot. Tough and simple.
- Free assessment
- Test socket fitting
- Walking training
Ankle disarticulation
Syme's ankle prosthesis for a long, end-bearing stump
A Syme's amputation removes the foot at the ankle but keeps the heel pad, so you can often stand on the end of the stump. The leg is short and strong, but the stump is long and wider at the end, so the socket and a very low foot have to be designed around it.
- Free first assessment
- Test socket before the final leg
- Answered 24/7
Reviewed by Ummad Shafique Mughal, Consultant Orthotist and Prosthetist. Updated October 2026.
In short
What is a Syme's ankle prosthesis?
The short answer
It is the leg for an amputation through the ankle joint, where the heel pad is kept and stitched over the end of the shin bone. Because the heel pad is made for weight-bearing, most people can put weight straight onto the end of the stump, and many can take a few steps at home without the leg. The socket has to pass over the slightly wider end and grip above it, and the foot has to be very low because there is little space under the stump.
Prices range from Rs 110,000 to about Rs 700,000 with an imported low-profile carbon fibre foot.
Is it right for you?
Who a Syme's prosthesis suits
Usually a good fit if
- The heel pad is well healed and sits firmly on the end
- You want a strong, end-bearing leg
- Long stump with healthy skin
- Active users who walk long distances
We may advise waiting, or something else, if
- The heel pad has slipped to one side or is painful
- Ulcers on the end of the stump, more common with diabetes
- If the heel pad cannot take weight, the socket is shaped to load the shin instead
What goes into it
The parts of a Syme's prosthesis
Fewer parts than a below knee leg, but each has to fit into very little space.
| Part | Local build | Imported build | What it changes for you |
|---|---|---|---|
| Socket | Laminated socket with a removable window or flexible inner wall | Same, with a silicone or gel liner | Getting the leg on over the wide end |
| Foot | Low-profile SACH Syme's foot | Low-profile carbon fibre Syme's foot | Push-off, comfort and shoe fit |
| Suspension | The wide end holds the socket on | Liner with a seal | Security |
| Cover | Plain finish | Shaped cover to match the other ankle | How the ankle looks under clothes |
Cost in 2026
What a Syme's prosthesis costs
Syme's ankle
Rs 110,000 to 700,000local to imported build
Mixed build Rs 200,000 to 450,000
A liner for comfort on the end and an imported low-profile dynamic foot.
- Free assessment
- Test socket fitting
- Walking training
Fully imported Rs 450,000 to 700,000
A premium liner and an imported low-profile carbon fibre Syme's foot for active walking.
- Free assessment
- Test socket fitting
- Walking training
Indicative ranges. A firm figure comes in writing after the free assessment and does not change without your agreement. Full cost guide.
Your visits
Four visits for most Syme's legs
Assessment
We check the heel pad, the skin and the length, and how much weight the end takes.
Casting
An impression that captures the wide end and the narrower ankle above it.
Test socket
A clear socket shows whether it passes over the end and grips well.
Fitting and training
The low foot is aligned while you walk, and training starts the same day.
Coming from out of town? Tell us your dates and we will plan the visits close together.
The advantage: standing on the end
The heel pad is the tissue made by nature to take your weight, and after a well-healed Syme's amputation it keeps doing that job. Standing feels natural, you feel the ground through the stump, and the long lever makes walking efficient. Many users can take a few steps to the bathroom at night or for wudu without putting the leg on, which reduces the risk of falls.
The challenge: a wide ankle and little room for the foot
The end of the stump is wider than the ankle above it because of the bone ends and the heel pad. The socket has to pass over this bulge, so it has a removable window or a flexible inner wall. The finished ankle looks a little wider than the other ankle, though careful shaping and a cover reduce the difference.
Because the stump is almost the full length of the leg, there are only a few centimetres for the foot. That is why Syme's feet are special low-profile designs, and why the choice is smaller than for below knee legs.
Life with a Syme's leg in Pakistan
Taking the leg off for wudu is quick, and many users can stand briefly on the heel pad while they wash. Closed shoes suit the leg best; the low foot fits a normal shoe without trouble. In summer, dry the stump and the liner at midday, because sweat softens the skin over the heel pad.
Caring for the heel pad
The heel pad is the most valuable part of a Syme's stump. Check it every night for redness or broken skin, avoid walking long distances on it without the leg, and keep the skin moisturised but not soggy. If you have diabetes, any sore on the end needs your doctor the same day.
Travelling to us?
Coming to us for a Syme's leg from another city or country
Tell us your city or country and your travel dates when you call. We plan the visits as close together as the stump allows, so most patients can finish the casting, test socket and fitting in one stay, whether they come from Quetta or fly in from Dubai, with a shorter trip later for adjustments if needed.
Questions
Questions about the syme's ankle prosthesis
Can I walk without the leg after a Syme's amputation?
Many people can take short steps at home on the heel pad, which is useful at night or for wudu. For anything longer, wear the leg; walking on the bare stump overloads the heel pad and can damage it.
Why does my artificial ankle look wider than my other ankle?
The end of the stump is naturally wider because of the bone ends and the heel pad, and the socket has to go around it. Careful shaping and a cover reduce the difference, but some extra width usually remains.
How much does a Syme's prosthesis cost?
From Rs 110,000 for a local build to about Rs 700,000 with an imported low-profile carbon fibre foot. Because space is limited, there are fewer feet to choose from than for below knee legs.
Is a Syme's amputation better than below knee?
When the heel pad stays healthy, a Syme's stump gives a long lever and end-bearing that many people like. The decision about the level is your surgeon's. Our job is to make the best leg for whichever level you have.
Related
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Read moreArtificial Leg After Diabetic Amputation
Softer sockets and closer skin checks for a stump that heals slowly.
Read moreWe import and fit parts from Ottobock, Össur, Blatchford, Proteor, Fillauer and other makers to order, and we are independent of all of them. Brands we fit.
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