Dermatological changes of amputation stump

Abstract

Dermatological changes of stumps of 174 amputees are presented. The commonest dermatological change recorded at the site of amputation stump was hyperpigmentation in 46 (26.4%) followed by callosities in 32 (18.3%), scaling in 29 (16.7%), cutaneous atrophy in 20 (11.5%), lichenification in 19(10.9%), traumatic ulcer and bacterial infections in 18 (10.3%) each, hypertrophic scar in 14 (8.1%), hypopigmentation and corns in 13 (7.4%) each, verrucous hypertrophy of stump in 12 (6.9%), dermatophytic infection in 5(2.9%), stump oedema and phantom limb in 4 (2.3%) each, intertriginous dermatitis in 3( 1.7%), allergic contact dermatitis (resin) and frictional eczema in 2(1.1%) each. Epidermoid cyst, keloid formation, anaesthesia, gangrene and cutaneous horn were recorded in 1 (0.6%) each. Atrophy (epidermal and derma), anaesthesia, alopecia and elephantiasis of the stump have not been documented in the literature earlier.