An ankle disarticulation is commonly referred to as Symes, this procedure removes the ankle and places the heel pad on the distal tibia for occasional weight bearing capacity.

Symes Prosthetic

A Symes prosthesis may use a suspension sleeve or a total contact socket and a prosthetic foot with the socket being the most important part of the prosthesis. Different factors are used to determine what type of socket and suspension will be best for your individual functional level.

The certified prosthetists at Prosthetic Orthotic Solutions International (POSI) will create a properly fitting prosthetic socket and provide the appropriate componentry that will enable you to get back to living a fulfilling functional life.

Symes Prosthetic Fitting Process

Working as a team, we will make a Symes prosthesis (ankle disarticulation prosthetic device) for you based off information we gather during the evaluation phase of the prosthetic fitting process. The first step in the process of making the Symes prosthetic leg is to take an impression of your residual limb. At POSI, this impression is captured by hand casting as this method provides a very precise fit that will maximize comfort.

At POSI, we understand the unique challenges you will face after a Symes amputation. We work with you and your caregivers through those challenges, we share resources, we coordinate peer support and we work with your rehabilitation team to ensure progress is being made.

Contact POSI

Our team of Certified Prosthetists are excited to assist you! Contact us today for a prosthetic consultation.


Schedule your complimentary evaluation today.


POSI prosthetist and technicians are trained and certified by the following manufacturers for use of their products:

Ossur: Touch Bionics, I-Limb

Otto Bock: Bebionic, Michelangelo

Marlton Office

100 Brick Road, Suite 315
Marlton, NJ 08053
Phone: 856-810-7900
Fax: 856-810-2580


Horsham Office

440 Horsham Road, Suite 2
Horsham, PA 19044
Phone: 215-328-9111
Fax: 215-328-0231

Prosthetic Orthotic Solutions International (POSI) is an outcome based prosthetic fitting & prosthetic care practice in the New Jersey, Pennsylvania and Delaware areas. POSI specializes in; lower limb prosthetics, upper extremity prosthetics, silicone prosthetics, prosthetic arm, and prosthetic leg fittings.