Reflex sympathetic dystrophy of the stump in below-knee amputees

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Abstract

Objective: To document the occurrence of reflex sympathetic dystrophy of the stump in two patients with below-knee amputation. Design: A retrospective survey emphasising two clinical case reports. Setting: Department of orthopaedic rehabilitation at a teaching rehabilitation hospital. Patients: Lower limb amputees (n = 164) were accepted for prosthetic rehabilitation. Twenty-one amputees were regarded as rehabilitation failures; in two below- knee amputees intractable pain was the major problem. Results: Clinical manifestations, radiological, and scintigraphic findings in the two amputees with intractable pain met the criteria for diagnosis of reflex sympathetic dystrophy. Conclusions: Reflex sympathetic dystrophy of the stump should be suspected in below-knee amputees whenever severe pain persists over a period of 3 to 4 months following amputation.

Original languageEnglish
Pages (from-to)270-275
Number of pages6
JournalClinical Journal of Pain
Volume8
Issue number3
DOIs
StatePublished - 1992
Externally publishedYes

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