Choo YJ, Kim DH, Chang MC. Amputation stump management: A narrative review. World J Clin Cases 2022; 10(13): 3981-3988 [PMID: 35665133 DOI: 10.12998/wjcc.v10.i13.3981]
Corresponding Author of This Article
Min Cheol Chang, MD, Associate Professor, Department of Physical Medicine and Rehabilitation, College of Medicine, Yeungnam University, 317-1, Daemyungdong, Namku, Taegu 705-717, South Korea. wheel633@gmail.com
Research Domain of This Article
Rehabilitation
Article-Type of This Article
Minireviews
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. May 6, 2022; 10(13): 3981-3988 Published online May 6, 2022. doi: 10.12998/wjcc.v10.i13.3981
Amputation stump management: A narrative review
Yoo Jin Choo, Du Hwan Kim, Min Cheol Chang
Yoo Jin Choo, Department of Physical Medicine and Rehabilitation, College of Medicine, Yeungnam University, Daegu 705-717, South Korea
Du Hwan Kim, Department of Physical Medicine and Rehabilitation, College of Medicine, Chung-Ang University, Seoul 06973, South Korea
Min Cheol Chang, Department of Physical Medicine and Rehabilitation, College of Medicine, Yeungnam University, Taegu 705-717, South Korea
Author contributions: Choo YJ, Kim DH, Chang MC contributed to the conceptualization, validation, investigation, writing-original draft preparation, writing-review and editing; Chang MC contributed to the supervision; and all authors have read and agreed to the published version of the manuscript.
Supported bythe National Research Foundation of Korea Grant funded by the Korean government, No. NRF2021R1A2C1013073.
Conflict-of-interest statement: All authors have no conflict of interest.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Min Cheol Chang, MD, Associate Professor, Department of Physical Medicine and Rehabilitation, College of Medicine, Yeungnam University, 317-1, Daemyungdong, Namku, Taegu 705-717, South Korea. wheel633@gmail.com
Received: July 16, 2021 Peer-review started: July 16, 2021 First decision: October 18, 2021 Revised: October 26, 2021 Accepted: March 14, 2022 Article in press: March 14, 2022 Published online: May 6, 2022 Processing time: 287 Days and 17 Hours
Abstract
In this review intended for medical staff involved in patient rehabilitation, we provided an overview of the basic methods for managing amputation stumps. After the amputation surgery, it is imperative to optimize the remaining physical abilities of the amputee through rehabilitation processes, including postoperative rehabilitation, desensitization, and continuous application of soft or rigid dressings for pain reduction and shaping of the stump. Depending on the situation, a prosthesis may be worn in the early stage of recovery or an immediate postoperative prosthesis may be applied to promote stump maturation. Subsequently, to maintain the range of motion of the stump and to prevent deformation, the remaining portion of the limb should be positioned to prevent contracture. Continuous exercises should also be performed to improve muscle strength to ensure that the amputee is able to perform activities of daily living, independently. Additionally, clean wound or edema management of the stump is necessary to prevent problems associated with wearing the prosthesis. Our review is expected to contribute to the establishment of basic protocols that will be useful for stump management from the time of completion of amputation surgery to the fitting of a prosthesis to optimize patient recovery.
Core Tip: Postoperative complications after amputation surgery include pain, hematomas, infection and tissue necrosis, joint contracture, muscle weakness, and phantom sensations or pain; in this regard, proper post-surgical management of the amputation stump is imperative. This review provides an overview of the basic methods for managing amputation stumps. Our review is expected to contribute to the establishment of basic protocols that will be useful for stump management from the time of completion of amputation surgery to the fitting of a prosthesis to optimize patient recovery.
