Late stump infection of lower limb amputation in North India

Dr. Dileep  Kumar; Dr. Sudhir R. Mishra; Dr. A.K. Gupta; Prof. V.P. Shrma; Dr. Ganesh Yadav; Dr. Sanyal Kumar

Volume : V, Issue : XI, November - 2015

Late stump infection of lower limb amputation in North India

Dr. Dileep Kumar, Dr. Sudhir R. Mishra, Dr. A. K. Gupta, Prof. V. P. Shrma, Dr. Ganesh Yadav, Dr. Sanyal Kumar

Abstract :

<p>&lt;p&gt;&amp;nbsp;There is very few published data on the diagnostic and therapeutic management of late lower limb stump infections. We carried out a retrospective observational study on 40 lower limb stumps presenting with late infection between January 2012 to December 2014 at a tertiary referral center in North India. Results of study showed sinus tract (55%) as most common sign of late infection followed by ulceration (25%), abscess (20%) and pain during the prosthetic fitting (5%). Pseudomonas aeruginosa followed by E.coli as the most common bacteria in amputated limb due to trauma. Surgical intervention required in case of discharging sinus and / or osteomyelitis. To summarize, treatment of lower limb late stump infection should be multidisciplinary (orthopedic surgeons, physiatrist, and infectious diseases physicians) to achieve the final objective, to allow using prosthesis so that the patient can walk with ease and comfort.&lt;/p&gt;</p>