Residual limb claudication after vascular transfemoral amputation.
BACKGROUND
In all, 68% of all lower limb amputees experience residual limb pain. More than 95% of all lower limb amputations in developed countries are due to peripheral artery occlusive disease in combination with diabetes mellitus. Therefore, claudication, which is one of the most common manifestations of peripheral artery occlusive disease, should be taken into consideration in making a differential diagnosis of residual limb pain. Case description and methods: We present a case study of a 60-year-old diabetic patient who underwent a transfemoral amputation due to peripheral artery occlusive disease and who experiences residual limb pain. A computed tomography angiography was performed, and we searched for relevant literature on claudication pain after lower limb amputation.


CONCLUSION
Little research has explored claudication as a cause of residual limb pain. More research will lead to a decrease in unnecessary prosthetic fittings and adjustments give more insight into the treatment and management of residual limb pain and prevent a decrease in mobility in amputees. Clinical relevance Claudication due to peripheral artery occlusive disease should be included as a possible cause of residual limb pain to prevent unnecessary prosthetic fittings and adjustments and to minimize psychological effects and limitations in activities and participation.
['de Boer|Riemke Ga|RG|', 'Paping|Marieke A|MA|', 'Kap|Bert|B|', 'Geertzen|Jan Hb|JH|']
D000671:Amputation D001157:Arterial Occlusive Diseases D003925:Diabetic Angiopathies D005260:Female D006801:Humans D007383:Intermittent Claudication D035002:Lower Extremity D008875:Middle Aged
claudication residual limb pain Lower limb amputation peripheral artery occlusive disease