Stump Problems

 

Stumps that are ready for prosthetic fitting should have feelings and have no spot pain point, e.g. neuromas, that will be the source of painful sensation. Also, there should be no edema or flexion contracture that will make prosthesis fitting process extremely difficult.

Stumps: A good stump that are suitable for prosthetic fitting requires not only good surgery techniques but it also needs to have appropriate length and strength, and the wound has to be completely healed.

After amputation, stump is an interface with a prosthetic socket. Prosthetic fitting is not possible if stumps are not strong enough or have contractions.

Edema: Edema is common after surgery, results from inflammatory reaction. In order to reduce the amount of edema, amputees should be educated on how to apply elastic bandages on the stump, as seen in the pictures below.
 

Above-the-knee stumps
 
# Use at least 2 elastic bandages, 4-6 inches wide.
 
Below-the-knee stumps
 
# Use 1-2 elastic bandages, 3-4 inches wide.
 
- Remove the bandage(s) and reapplied it at least every 6 hours to ensure stable pressure
- Do not leave the bandage off for more than 30 minutes
Apply the bandage on the stump until the amount of edema is reduced. If the skin on the stump can be pinched by fingers, that means the stump is at the suitable state for prosthetic fitting. If not, more bandaging should be continuously applied.
 
 
Flexion Contraction: Flexion Contraction usually occurs when stump is placed in wrong positions which are listed below.
 
Positions that should be avoided