Conservative surgery in the management of diabetic foot complications (excluding Charcot). The role of the orthopedic surgeon.

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Abstract

Conflict of interest statement: The author declare that they have no relevant financial or non-financial interests to report. 9. Acta Med Okayama. 1993 Dec;47(6):407-12. doi: 10.18926/AMO/31565. Stump problems in traumatic amputation. Hirai M(1), Tokuhiro A, Takechi H. Author information: (1)Department of Orthopaedic Surgery, Okayama University Medical School, Japan. Stump problems in amputations resulting from employment related injuries were investigated in 397 cases in the Chugoku and Shikoku districts of Japan between 1987 and 1991. Ninety-seven patients (24%) had stump problems which interfered the prosthetic fitting. Stump problems of the upper extremity were seen in about 9% (17 amputees), two thirds of which were skin troubles. Stump problems of the lower extremity were seen in about 37% (80 amputees). Certain complaints were associated with specific methods of amputation; abnormal keratosis in Syme's amputation, equinus deformity in Chopart's amputation, reduced muscle power in above the knee (A/K) amputation and joint dysfunction in below the knee (B/K) amputation. Adequate prosthetic fitting was achieved by the modification of the socket and alignment in almost all amputees with stump problems. In only two cases, Chopart's amputation required subsequent Syme's amputation due to equinus deformity with abnormal keratosis. In almost every case, stump problems are avoidable by means of surgeons' deliberate evaluation of the affected limb and adequate choice of the amputation level. DOI: 10.18926/AMO/31565