Dermatologic Conditions Following Limb Loss - 08/10/24

Doi : 10.1016/j.pmr.2024.06.002

Shaliz Aflatooni, BS ^a, Kate Beekman, BS ^a, Kerry Hennessy, MD ^b, Michael Jason Highsmith, PhD, DPT, CP ^c,^d, Jeffrey T. Heckman, DO ^e,^f, Peter R. Shumaker, MD ^g, Chad M. Hivnor, MD ^h, Thomas M. Beachkofsky, MD ^i,^⁎
^a Morsani College of Medicine, University of South Florida, 560 Channelside Drive, Tampa, FL 33602, USA
^b Department of Dermatology and Cutaneous Surgery, Morsani College of Medicine, University of South Florida, 13330 USF Laurel Drive, Tampa, FL 33612, USA
^c Orthotic, Prosthetic & Pedorthic Clinical Services (OPPCS) Program Office (12RPS4), Rehabilitation & Prosthetic Services, US Department of Veterans Affairs, 810 Vermont Avenue Northwest, Washington, DC 20420, USA
^d School of Physical Therapy & Rehabilitation Sciences, Morsani College of Medicine, University of South Florida, 3515 East Fletcher Avenue, Tampa, FL 33613, USA
^e Morsani College of Medicine, University of South Florida, 12901 Bruce B. Downs Boulevard, MDC 55, Tampa, FL 33612, USA
^f James A. Haley Veterans' Hospital & Clinics, 13000 Bruce B. Downs Boulevard, Mailstop-117 Tampa, FL 33612, USA
^g Dermatology Department, US Department of Veterans Affairs, Veterans Administration San Diego Healthcare System, 3350 La Jolla Village Drive, Suite 111B, San Diego, CA 92161, USA
^h Dermatology Department, US Department of Veterans Affairs, South Texas Veterans Health Care System, 7400 Merton Mentor Drive, San Antonio, TX 78229, USA
ⁱ Dermatology Department, US Department of Veterans Affairs, James A. Haley Veterans’ Hospital, 12210 Bruce B Downs Boulevard, Building 111H, Tampa, FL 33612, USA

^∗Corresponding author. Dermatology Department, James A. Haley Veterans’ Hospital, 12210 Bruce B. Downs Boulevard, Tampa, FL 33612.Dermatology DepartmentJames A. Haley Veterans’ Hospital12210 Bruce B. Downs BoulevardTampaFL33612

Riassunto

The use of prostheses in individuals with limb loss increases the risk of maceration, friction, and pressure-induced skin injuries due to the vulnerability of the residual limb and the close contact with the socket. Poorly fitting prostheses exacerbate these issues, especially for those with immunosuppression or vascular conditions. Skin pathologies disrupt daily prosthetic limb use and impact the independence of those with limb loss. Preventive measures, including proper prosthesis socket fitting and meticulous skin care, are crucial. This review explores residual limb-site skin pathologies and details current mitigation and management strategies.

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Keywords : Lower extremity amputation, Prosthesis user, Prosthetics, Rehabilitation, Skin pathology

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Vol 35 - N° 4

P. 739-755 - Novembre 2024 Ritorno al numero

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Dermatologic Conditions Following Limb Loss - 08/10/24

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