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Residual limb claudication after vascular transfemoral amputation

DE BOER RG; PAPING MA; KAP B; GEERTZEN JH
PROSTHET ORTHOT INT , 2017, vol. 41, n° 6, p. 601-604
Doc n°: 185401
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1177/0309364617706747
Descripteurs : EB3 - AMPUTATION DU MEMBRE INFERIEUR, DF231 - CLAUDICATION

In all, 68% of all lower limb amputees experience residual limb pain.
More than 95% of all lower limb amputations in developed countries are due to
peripheral artery occlusive disease in combination with diabetes mellitus.
Therefore, claudication, which is one of the most common manifestations of
peripheral artery occlusive disease, should be taken into consideration in making
a differential diagnosis of residual limb pain. Case description and methods: We
present a case study of a 60-year-old diabetic patient who underwent a
transfemoral amputation due to peripheral artery occlusive disease and who
experiences residual limb pain. A computed tomography angiography was performed,
and we searched for relevant literature on claudication pain after lower limb
amputation. CONCLUSION: Little research has explored claudication as a cause of
residual limb pain. More research will lead to a decrease in unnecessary
prosthetic fittings and adjustments give more insight into the treatment and
management of residual limb pain and prevent a decrease in mobility in amputees.
Clinical relevance Claudication due to peripheral artery occlusive disease should
be included as a possible cause of residual limb pain to prevent unnecessary
prosthetic fittings and adjustments and to minimize psychological effects and
limitations in activities and participation.

Langue : ANGLAIS

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