Crosswords1 min ago
Plastic Surgery
13 Answers
Anyone any experiences of plastic surgery for non-cosmetic procedures?
I have a small but painful ulcer on the bottom of my stump (amputated leg) which is taking months to heal, due I’m sure to its position, and I was wondering whether plastic surgery might help solve the problem.
Any thoughts?
BillB
I have a small but painful ulcer on the bottom of my stump (amputated leg) which is taking months to heal, due I’m sure to its position, and I was wondering whether plastic surgery might help solve the problem.
Any thoughts?
BillB
Answers
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I would presume that the ulcer on your amputated stump which is taking a long time to heal is due to the fact that the blood supply to that leg is compromised and any "Plastic Surgery" to that stump will need a skin graft, which will be equally compromised.
Not a good idea.
Your amputation was due I presume tro Type 2 diabetes or perhaps an accident.
Not a good idea.
Your amputation was due I presume tro Type 2 diabetes or perhaps an accident.
Yes and no, sqad.
Amputation was due to alcoholism/neuropathy/undiagnosed broken ankle... which I walked on for six months and *** the bones!
Thus, blood supply is (curiously) good. For example, I had a pressure sore on my real foot which developed into an ulcer, but which healed up in 8 weeks. When (rarely) I get a scratch on my stump, it bleeds, then heals.
I certainly have some classic diabetes II markers, but I’m lucky in that respect.
———
Cloverjo. Ah, there’s the problem. The chief prosthetic consultant at a flagship NHS orthopaedic hospital suggested steristrips to hold the ulcer together.... needless to say, the system lasted about 30 seconds. His further advice was ‘use a stick’.
My GP says ‘Ask your prosthetic consultant.” There’s a hole in my bucket, dear Liza.
The most useful advice has come from our local ‘Tissue Clinic’ nurses.
BillB
Amputation was due to alcoholism/neuropathy/undiagnosed broken ankle... which I walked on for six months and *** the bones!
Thus, blood supply is (curiously) good. For example, I had a pressure sore on my real foot which developed into an ulcer, but which healed up in 8 weeks. When (rarely) I get a scratch on my stump, it bleeds, then heals.
I certainly have some classic diabetes II markers, but I’m lucky in that respect.
———
Cloverjo. Ah, there’s the problem. The chief prosthetic consultant at a flagship NHS orthopaedic hospital suggested steristrips to hold the ulcer together.... needless to say, the system lasted about 30 seconds. His further advice was ‘use a stick’.
My GP says ‘Ask your prosthetic consultant.” There’s a hole in my bucket, dear Liza.
The most useful advice has come from our local ‘Tissue Clinic’ nurses.
BillB
Hello anne.
Yes, not infected. The main reason it's taking months to heal is where it is - right on the 'point' of my stump, i.e. when I walk, half of my 20 stone presses right onto the ulcer, sandwiching it betwixt bone and hard socket... It IS getting better, i.e. it is closing over, but so so slowly, and even though it is now only 3mm across (it was 10+) it hurts!
If I had the necessary to stay in my bed for a month, it might cure completely, but that would drive me even madder.
BB
Yes, not infected. The main reason it's taking months to heal is where it is - right on the 'point' of my stump, i.e. when I walk, half of my 20 stone presses right onto the ulcer, sandwiching it betwixt bone and hard socket... It IS getting better, i.e. it is closing over, but so so slowly, and even though it is now only 3mm across (it was 10+) it hurts!
If I had the necessary to stay in my bed for a month, it might cure completely, but that would drive me even madder.
BB
um I am not sure any of us can help
an uninfected ulcer should heal ( there is a sort of law about this) and if it doesnt then it is infected or the blood supply is compromised or some other reason
Both you and the consultant know if the stump is good or not, or whether the bone is poking thro the skin ( =needs stump revision ) or whether the bone is adequately padded away from the skin (does not need a stump revision)
If it is arteriopathic or neuropathic - then cosmetic surgery is NOT the answer
sorry BB another long bollshotty answer, but you know what do you expect from me?
an uninfected ulcer should heal ( there is a sort of law about this) and if it doesnt then it is infected or the blood supply is compromised or some other reason
Both you and the consultant know if the stump is good or not, or whether the bone is poking thro the skin ( =needs stump revision ) or whether the bone is adequately padded away from the skin (does not need a stump revision)
If it is arteriopathic or neuropathic - then cosmetic surgery is NOT the answer
sorry BB another long bollshotty answer, but you know what do you expect from me?
-- answer removed --
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