Fluid collections in amputee stumps: a common phenomenon.
OBJECTIVE
To assess the incidence of fluid collections in postoperative amputee stumps and the impact on limb-fitting outcomes in patients with such collections.


METHODS
Cohort study.


METHODS
Inpatient rehabilitation ward.


METHODS
Successive patients with amputation examined with ultrasound over 1 year.


METHODS
Not applicable.


METHODS
The presence of discrete fluid collections on admission and outcomes of successful limb fitting, length of inpatient stay, and presence of psychologic symptoms.


RESULTS
In 105 consecutive admissions, we detected discrete fluid collections in 28 (27%) of stumps with a median volume of 38.5 mL (range, 16-216 mL). All collections diminished and disappeared by discharge with 81% undetectable within 30 days since surgery. A transfemoral amputee was more likely to develop a collection than a transtibial amputee (P<.01). Patients with collections took 9.5 days longer to achieve limb fitting (P=.04) and had a 10-day longer inpatient stay (P=.02). However, the overall success of limb fitting was similar as was the incidence of psychologic distress.


CONCLUSIONS
Discrete fluid collections are common in postoperative amputation stumps but regress by discharge. Although limb fitting may be delayed, the ultimate success of limb fitting is not reduced and patients can be reassured.
Singh
Rajiv
R
Rehabilitation Medicine Unit, Astley Ainslie Hospital, Edinburgh, UK. rajiv.singh@lpct.scot.nhs.uk
Hunter
John
J
Philip
Alistair
A
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000672:Amputation Stumps / Q000000981:diagnostic imaging* / Q000503:physiopathology; D015331:Cohort Studies; D005122:Exudates and Transudates / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging* / Q000503:physiopathology; D012047:Rehabilitation Centers; D014463:Ultrasonography; D014945:Wound Healing