How are lower-extremity amputation postoperative edema treated?

Updated: Apr 29, 2021
  • Author: Janos P Ertl, MD; Chief Editor: Vinod K Panchbhavi, MD, FACS, FAOA, FABOS, FAAOS  more...
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Answer

Postoperative edema may occur and further compromise wound healing. This problem can be minimized by performing medullary canal closure and myoplasty. Postoperative bulbous swelling of the distal residual extremity is due to tight proximal dressings. This may lead to congestion and subsequent wound and prosthetic-fitting difficulties. Similarly, if the prosthesis is too tight proximally, bulbous swelling and venous congestion occur and may lead to cellulitis.

Persistent residual extremity swelling after maturation is most often due to a poor prosthetic fit or medical problems. Chronic swelling without treatment may lead to verrucous hyperplasia. Treatment consists of a total-contact socket with frequent alterations as needed to accommodate volume changes.


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