J of Bone and Joint Surgery, Vol.

A METHOD FOR SHRINKING AND SHAPING THE STUMP Grand haven street tree removal request approach to shrinking and shaping the stump is based on the philoso- phy that compression to the stump be applied in such a manner that it would correspond in principle with the quadrilateral shape of the present day socket. This attempt to obtain a well-formed stump through compressionFile Size: KB. Often the skin graft could be totally removed by excision and primary suture following stump shrinkage and this two stage amputation left the patient with a satisfactory stump for prosthetic fitting.

The resulting stump was covered by normal skin with intact sensation. Treatment of amputation stump dermatoses Powders and unperfumed antiperspirants can be used to reduce sweating. Bacterial infections are treated with antiseptic washes, antibiotics. Calluses are treated with keratolytic agents such as urea cream.

Cysts may require surgical removal and refitting the. There should be no wrinkles, creases, or gaps in the shrinker as these can produce skin breakdown (see Appendix D). 3. PROCEDURE Bandaging Supplies: Above-Knee Amputation: 2 -3 lengths of 4 – 6 “ elastic bandage Below-Knee Amputation: lengths of 3 – 4 “ elastic bandageFile Size: KB.

The standard protocols for skin closure in any other surgery also apply to closing the wound following an amputation. Dead space should be eliminated and drain systems used when necessary.

When closing the wound, opposing tissue layers are sewn under physiologic tension, and care must be taken so that the final closure is neither too light nor too loose. Skin Care of the Residual Limb. Skin that comes in contact with the socket of the prosthesis must be cared for and carefully checked to prevent skin breakdown and skin infection.

Skin breakdown is when the skin is damaged and develops blisters or sores.

Adequate hemostasis and the management of blood vessels and bleeding sites is of utmost importance in amputation surgery.

Pain is the first indication of a problem. When an unpleasant sensation is first felt, the.