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- E Isakov, Z Susak, and A Korzets.
- Department of Orthopaedic Rehabilitation, Loewenstein Hospital, Ra'anana, Israel.
- Clin J Pain. 1992 Sep 1; 8 (3): 270-5.
ObjectiveTo document the occurrence of reflex sympathetic dystrophy of the stump in two patients with below-knee amputation.DesignA retrospective survey emphasising two clinical case reports.SettingDepartment of orthopaedic rehabilitation at a teaching rehabilitation hospital.PatientsLower limb amputees (n = 164) were accepted for prosthetic rehabilitation. Twenty-one amputees were regarded as rehabilitation failures; in two below-knee amputees intractable pain was the major problem.ResultsClinical manifestations, radiological, and scintigraphic findings in the two amputees with intractable pain met the criteria for diagnosis of reflex sympathetic dystrophy.ConclusionsReflex sympathetic dystrophy of the stump should be suspected in below-knee amputees whenever severe pain persists over a period of 3 to 4 months following amputation.
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