Stump complications leading to stump revision surgery and related factors in individuals with trauma-related lower limb amputation: a 7-year retrospective cohort study

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KORKMAZ N., Gezer I. Ç., Ceylan H., Kamacı G. K., DEMİR Y., AYDEMİR K.

Gulhane Medical Journal, cilt.67, sa.3, ss.151-158, 2025 (Scopus, TRDizin)

Özet

Aims: Stump complications (SCs) are common in individuals with lower extremity amputations due to trauma, and these complications may require revision surgeries. This study aimed to describe SCs leading to revision surgery and to determine the factors associated with these complications. Methods: This retrospective cohort study included individuals with traumatic lower extremity amputation who underwent stump revision surgery due to SCs and were admitted to a tertiary rehabilitation hospital between January 2016 and November 2023. Demographic, clinical and amputation data were recorded. Results: The study included 84 patients (age, mean±standard deviation: 39.4±10.5 years; 100% male). The reason for the first revision was infection in 30 patients (35.7%), neuroma in 22 patients (26.2%), bone spur formation in 21 patients (25%), and stump socket incompatibility in 11 patients (13.1%). The time from amputation to the first revision and the duration of prosthesis use before the operation were significantly longer in patients who underwent revision surgery due to neuroma (p=0.016 and p=0.018, respectively). In patients who had revision surgery due to infection, these times were significantly shorter (p=0.028 and p=0.015, respectively). Conclusions: This study demonstrated that stump infection was the leading cause of revision surgery in trauma-related lower limb amputations, followed by neuroma. While neuroma-related surgeries were associated with longer amputation and prosthesis use durations, infection-related revisions occurred earlier in the post-amputation period.