Abstract | BACKGROUND: METHODS: From May 2000 to October 2008, twenty-two patients underwent an amputation of a nonfunctional limb at our institution because of long-standing, therapy-resistant type-I complex regional pain syndrome. Twenty-one of these patients were included in our study. The median age was forty-six years (interquartile range [IQR], thirty-seven to fifty-one years), the median duration of the complex regional pain syndrome was six years (IQR, two to ten years), and the median interval between the amputation and the study was five years (IQR, three to seven years). A semistructured interview was conducted, physical examination of the residual limb was performed, and the patients completed two questionnaires. RESULTS: Twenty patients (95%) reported an improvement in their lives. Nineteen patients (90%) reported a reduction in pain, seventeen patients (81%) reported an improvement in mobility, and fourteen (67%) reported an improvement in sleep. Eighteen of the twenty-one patients stated that they would choose to undergo an amputation again under the same circumstances. Ten of the fifteen patients with a lower-limb amputation and one of the six with an upper-limb amputation regularly used a prosthesis. The type-I complex regional pain syndrome recurred in the residual limb of three patients (14%) and symptoms recurred in another limb in two patients (10%). CONCLUSIONS:
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Authors | Hilde K Krans-Schreuder, Marlies I Bodde, Ernst Schrier, Pieter U Dijkstra, Jan A van den Dungen, Wilfred F den Dunnen, Jan H Geertzen |
Journal | The Journal of bone and joint surgery. American volume
(J Bone Joint Surg Am)
Vol. 94
Issue 24
Pg. 2263-8
(Dec 19 2012)
ISSN: 1535-1386 [Electronic] United States |
PMID | 23318617
(Publication Type: Journal Article)
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Topics |
- Adult
- Amputation, Surgical
- Female
- Humans
- Interviews as Topic
- Leg
(surgery)
- Male
- Middle Aged
- Pain Measurement
- Quality of Life
- Recurrence
- Reflex Sympathetic Dystrophy
(etiology, surgery)
- Surveys and Questionnaires
- Treatment Outcome
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