Dermatologic Conditions Following Limb Loss

Phys Med Rehabil Clin N Am. 2024 Nov;35(4):739-755. doi: 10.1016/j.pmr.2024.06.002. Epub 2024 Jul 9.

Abstract

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.

Keywords: Lower extremity amputation; Prosthesis user; Prosthetics; Rehabilitation; Skin pathology.

Publication types

  • Review

MeSH terms

  • Amputation Stumps
  • Amputation, Surgical
  • Artificial Limbs*
  • Humans
  • Prosthesis Fitting
  • Skin Diseases* / etiology
  • Skin Diseases* / therapy