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Reflex sympathetic dystrophy of the stump in below-knee amputees
1Department of Orthopaedic Rehabilitation, Loewenstein Hospital, Ra'anana, Israel.
Objective:
To document the occurrence of reflex sympathetic dystrophy of the stump in two patients with below-knee amputation.
Design:
A retrospective survey emphasising two clinical case reports.
Setting:
Department of orthopaedic rehabilitation at a teaching rehabilitation hospital.
Patients:
Lower limb amputees (n = 164) were accepted for prosthetic rehabilitation. Twenty-one amputees were regarded as rehabilitation failures; in two below-knee amputees intractable pain was the major problem.
Results:
Clinical manifestations, radiological, and scintigraphic findings in the two amputees with intractable pain met the criteria for diagnosis of reflex sympathetic dystrophy.
Conclusions:
Reflex sympathetic dystrophy of the stump should be suspected in below-knee amputees whenever severe pain persists over a period of 3 to 4 months following amputation.
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