Mohammadi Hadi Nouraei, MD; Mohammad Javdan, MD; Farhad Nouraei, MD; Abdolah Mohebbi Dehnavi, MD; Farshad Safdari, MSc
Abstract
Background: twenty years has passed since the Iran-Iraq war and little has been written on war amputees and their stump problems. With the continued use of prosthesis, its problems increases and meticulous attention by expert team of rehabilitation and orthopaedic surgeons is needed to prevent complications. ...
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Background: twenty years has passed since the Iran-Iraq war and little has been written on war amputees and their stump problems. With the continued use of prosthesis, its problems increases and meticulous attention by expert team of rehabilitation and orthopaedic surgeons is needed to prevent complications. In this research, the problem caused by amputation were studied. Methods: In a retrospective study, 150 cases were studied in two outpatient clinics in Isfahan, Iran. The cases referring to these centers from June 2003 to December 2011 were evaluated by direct examination and completing a questionnaire. Results: The problems according to their prevalence were hyperpigmentation, itching, linkification, hyperhydrosis, fuliculitis, stump atrophy, decreased soft tissue coverage at the end of stump, stump ulcer, soft unsuitable tissue, bone pain, muscular pain, phantom pain, and stump edema. Other problems with lower prevalent were bone overgrowth, hyopsthesis, fracture bone, too much stump fat, inadequate circulation, pain and pallor of stump. Overall, the skin problems were the most and vascular problems the least prevalent. The rest of issues were seen more frequently in below knee amputations.Conclusions: With the high rate of skin problems in stumps, hygenic care of stump skin, and proper duration of prosthetic use can decrease stump problems.
