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CASE REPORT
Year : 2021  |  Volume : 35  |  Issue : 1  |  Page : 83-86

Continuous adductor canal block for the management of below-knee postamputation stump pain in a diabetic patient


1 Department of Anaesthesiology and Pain Medicine, Central Hospital, South Eastern Railway, Garden Reach, West Bengal, India
2 Senior Consultant Pain Management, Kolkata Pain Clinic, Kolkata, West Bengal, India

Correspondence Address:
Dr. Samir Basak
Flat 10C, Unit 4, BNR North Colony, 11 Garden Reach Road, Kolkata - 700 043, West Bengal
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijpn.ijpn_107_20

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Limb amputation surgery is one of the oldest surgical procedures. Below-knee amputation (BKA) surgery is indicated for advanced critical limb ischemia, diabetic foot sepsis, and major trauma. The majority of unplanned readmission after lower limb amputation surgery occurs mainly due to persistent postamputation stump pain. One of the important causes of postamputation stump pain is stump site infection. A higher rate of infection is seen in diabetic patients. Postamputation stump pain management is challenging due to the presence of mixed nociceptive and neuropathic pain component. Various modalities of treatment to control the stump pain are published in different articles. However, no single technique or drug is found superior to others. Here, we report a case of severe postamputation stump pain after BKA surgery in a diabetic patient with stump site infection. The pain was successfully managed by continuous infusion of analgesics via the adductor canal perineural catheter. After the stoppage of the infusion, the patient did not report any phantom limb pain syndrome during the 6-month follow-up.


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