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May 1979

Correctable Vascular Disease as a Cause for Late Amputation Stump Breakdown

Author Affiliations

University of Miami Medical School PO Box 520875, Biscayne Annex Miami, FL 33152

Arch Surg. 1979;114(5):640. doi:10.1001/archsurg.1979.01370290090023

Late skin problems developing in the amputated extremity are most often attributed to inappropriate or malfitting prosthetic devices.1 That the problem might be secondary to a correctable vascular lesion is seldom considered. In fact, a search of the medical literature of the past ten years failed to identify such a case. This report describes a case in which revascularization resulted in immediate healing of an ulcerated, below-knee stump.

Report of a Case.—A 57-year-old man sustained trauma to his right leg in 1944, which resulted in a below-knee amputation. Using a below-knee prosthesis, he walked without difficulty for approximately 12 years. At that point, skin problems developed in the stump, requiring revision. He again did well for approximately 12 years, at which time necrosis of a portion of the skin over the distal stump developed. This failed to respond to local measures. Examination disclosed a very weak right femoral