Table 5 Evaluation criteria of stump problems
From: Surgical revision for stump problems after traumatic above-ankle amputations of the lower extremity
Category | Content |
|---|---|
Anatomy | Skin: scar, folds, folliculitis, ulcer, fistulas etc. |
Muscle: loose, without myodesis and myoplasty | |
Nerve: neuroma, adhesion of nerve | |
Bone end:spur, abduction or mecism of fibula | |
Pain nature | Stump pain (4 types [4]): nerve stimulation, circulatory disturbance, muscle anomalous tension, bone spur |
phantom limb pain:complicated reasons, not fully clear | |
Shape of stump | Conical |
Cylindrical | |
Irregular | |
Soft tissue coverage | Extensive skin grafting,including stamp skin grafting |
Bone protrusion subcutaneously with muscle retraction | |
Excess soft tissue | |
Heavy scar | |
Primary amputation | Emergent operation for amputation |
Failure of limb salvage | |
Normal healing after amputation | |
Necrosis, infection, delayed healing | |
Infection | Yes, companied with ulcer, fistulas, osteomyelitis etc. |
No |