Abstract
The importance of early recognition and treatment of skin lesions on the stumps of amputees cannot be overemphasized. Heavy demands are placed on the stump skin by the artificial limb. Even a minor skin eruption may, through neglect or mistreatment, become an extensive disorder that will seriously threaten the amputee's mental, social, and economic rehabilitation. Contact dermatitis, eczemas, epidermoid cysts, bacterial and fungus infections, chronic ulcers, and verrucose hyperplasia are among the disorders to which the stump skin is subject. Proper stump hygiene is often effective in alleviating or averting some of these conditions. Since skin disorders in amputees are essentially “environmental” dermatoses, their treatment often involves change of the environment through adjustment or redesign of the artificial limb. For example, verrucose hyperplasia was treated successfully by a change in prosthetic design. Thus, the skills of engineers and prosthetists must be combined with the contributions of dermatologists and other medical specialists in the solution of skin problems of the amputee.
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