title: [Stump problems after a lower limb amputation].
abstract: 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.
authors.affiliation: Vogellanden centrum voor revalidatie, Zwolle, the Netherlands. e.c.t.baars@vogellanden.nl
authors.forename: Erwin C T
authors.initials: EC
authors.lastname: Baars
authors.forename: Karst J
authors.initials: KJ
authors.lastname: Bongers
mesh_terms: D000671:Amputation, Surgical / Q000534:rehabilitation*; D000672:Amputation Stumps / Q000098:blood supply / Q000382:microbiology / Q000473:pathology* / Q000601:surgery; D000935:Antifungal Agents / Q000627:therapeutic use; D002177:Candidiasis / Q000150:complications* / Q000188:drug therapy; D005260:Female; D006801:Humans; D006920:Hygiene; D007511:Ischemia / Q000150:complications* / Q000601:surgery; D035002:Lower Extremity; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D000935:Antifungal Agents