Rehabilitation

The key for success in dealing with the stage 6 patient is careful follow-up. With good planning and follow-up care after a major amputation, the stump will heal but it is also important to ensure that it will remain intact. Healthcare professionals in the diabetic foot service should be aware of the presentation and management of problems with the amputated stump. Often they will be treating the remaining foot of their patients but be asked to advise on problems with the stump of the contralateral leg.

Problems with the stump include:

• Volume fluctuation

• Susceptibility to trauma

• Ulceration

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