Stump problems after a lower limb amputation
Baars, E.C.T.; Bongers, K.J.
Nederlands Tijdschrift Voor Geneeskunde 157(20): A6106
2013
ISSN/ISBN: 1876-8784 PMID: 23676134 Document Number: 670864
Problems in the amputation stump occur frequently in lower limb amputees. These problems can range from skin defects to serious vascular insufficiency and have a major impact on the amputee's quality of life. We illustrate this with 2 patients aged 20 and 65. The first patient developed a Candida skin infection of the stump skin as a result of silicone liner use. She was successfully treated with miconazole/hydrocortisone and hygiene measures. The second patient developed progressive lower limb ischemia that resulted in a stump wound and claudication. He was treated with vascular surgery. Patients with stump problems should be referred to a rehabilitation physician for thorough examination of the stump in determining the cause of the symptoms and subsequent instalment of adequate treatment.