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Marked bone spur formation in a burn amputee patient
Archives of Physical Medicine and Rehabilitation
|April 1, 1980
Summary
A burn amputee developed significant bone spurs on his residual limb, impacting prosthetic use. Surgical revision successfully improved prosthetic tolerance and enabled functional ambulation.
Area of Science:
- Orthopedics
- Rehabilitation Medicine
- Burn Surgery
Background:
- Severe burn injuries can lead to complex complications.
- Lower extremity amputation presents unique challenges in prosthetic rehabilitation.
- Bone spur formation (exostosis) can complicate residual limb management.
Observation:
- A 17-year-old male with extensive burns (56% BSA) underwent left below-knee amputation.
- Post-amputation, the patient experienced poor skin tolerance to weight-bearing due to prominent distal bony margins.
- Radiographic imaging revealed extensive linear bone spur formation with cross-bridges on the distal tibia and fibula.
Findings:
- The bone spur formation was characterized as an extensive bony exostosis of unclear etiology.
- Surgical revision of the residual limb was performed to enhance prosthetic tolerance.
- The revision successfully enabled independent functional prosthetic ambulation.
Implications:
- Surgical intervention can effectively manage problematic bone spur formation in burn amputees.
- Optimizing residual limb shape is crucial for successful prosthetic fitting and gait training.
- Further monitoring is needed due to limited asymptomatic recurrence of bone spurs.