Case Study: A persistent wound on a transtibial amputation stump

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Submitted by Tjerk de Ruiter

In this case study a highly active amputee is presented.
After a bike vacation he sufferd from a persistent wound on his transtibial stump. He had been treated in a specialised outpatient wound clinic without much result. The aim of the treatment off course was to close the wound, but without understanding the underlaying mechanism, this appeared to be fruitless.
Logically combining the biomechanics , shape and vitality of the stump and the properties of the liner and prosthesis allowed the wound to close within one week.