[Treatment and rehabilitation strategy for patients with lower extremity stump ischemia]

The paper is concerned with evidence for the choice of the treatment and rehabilitation policy of patients suffering from lower extremity stump ischemia. Altogether 446 patients with obliterating diseases of arteries and unilateral post-amputation defects of the lower extremities were examined. Of these, degree III-IV stump ischemia was verified in 90 patients, transient stump ischemia was present in 259 patients. In 30 patients, stump pains or defects of the skin were determined by defects and discuses of the stump; 67 patients were identified to have no clinical signs of ischemia and no defects or diseases of the stump, 43 patients underwent arterial reconstructions whereas reamputations of the extremity were undertaken in 29 patients. The remaining patients with stump ischemia received conservative therapy. The algorithm of the choice of the treatment policy and rehabilitation of patients was worked out depending on the severity of the clinical manifestations of stump ischemia and the level of post-amputation defect.