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Skin problems in lower limb amputees: an overview by case reports
H E J Meulenbelt1, J H B Geertzen, P U Dijkstra
1Centre for Rehabilitation, University Medical Centre Groningen, University of Groningen, The Netherlands. h.e.j.meulenbelt@rev.umcg.nl
Summary
Lower limb amputees using prostheses often experience stump skin issues due to friction and moisture. This review details common problems like infections, ulcers, and dermatitis in amputee stumps.
Area of Science:
- Dermatology
- Prosthetics
- Rehabilitation Medicine
Background:
- Lower limb amputee stumps face unique challenges, including shear forces, stress, and humidity from prosthesis use.
- These conditions predispose the stump skin to various dermatological issues.
Purpose of the Study:
- To systematically review and synthesize case reports on skin problems affecting lower limb amputee stumps.
- To identify and categorize the most prevalent dermatological disorders in this population.
Main Methods:
- A comprehensive literature search was conducted for case reports concerning lower limb amputee stump skin conditions.
- Data from 56 reports, encompassing 76 individual cases, were analyzed.
Main Results:
- The review identified several common skin disorders, including acroangiodermatitis, allergic contact dermatitis, bullous diseases, epidermal hyperplasia, hyperhidrosis, infections, malignancies, and ulcerations.
- These findings highlight the diverse range of potential skin complications.
Conclusions:
- Skin problems are a significant concern for lower limb amputees utilizing prostheses.
- Awareness and management of these conditions are crucial for patient well-being and prosthesis adherence.
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