What is a potential complication of amputation that may occur in the immediate post-operative period?

The primary purpose of a follow-up visit for a patient who underwent amputation is to adjust the prosthetic fitting and alignment. Prosthetic devices need to be customized and aligned correctly to ensure the patient's optimal mobility and function.

a. To assess for surgical wound dehiscence: While wound assessment is essential, it is not the primary purpose of a follow-up visit. Wound dehiscence, if present, would typically be detected earlier and addressed during the immediate post-operative period.
b. To provide emotional support and counseling: Emotional support and counseling are essential aspects of care for a patient who underwent amputation, but they are not the primary purpose of a follow-up visit, which focuses on the prosthetic fitting and functional outcomes.
d. To initiate post-operative physical therapy: Post-operative physical therapy may be initiated during the rehabilitation process, but it is not typically the primary purpose of a follow-up visit. Initial physical therapy sessions may begin earlier, often shortly after the amputation surgery.

Increased swelling and bruising of the residual limb after a below-the-knee amputation may indicate a possible complication such as hematoma formation or poor wound healing. It requires further assessment and intervention by the healthcare team.

b. Mild tenderness and discomfort at the surgical site: Mild tenderness and discomfort are common after surgery and may be expected in the post-operative period. As long as the pain is manageable and not worsening, it is not necessarily an indication of a significant complication.
c. Gradual decrease in phantom limb pain over time: Phantom limb pain may gradually decrease over time as the nerve endings adapt to the amputation, and the brain's perception of the missing limb changes. This finding is a normal part of the post-amputation process and is not typically a complication.
d. Resumption of normal daily activities with a prosthetic limb: Resuming normal daily activities with a prosthetic limb is a positive outcome and a sign of successful rehabilitation and adaptation to the prosthesis. It is not indicative of a complication.