Search all medical codes
Dehiscence of amputation stump
ICD10CM code
Name of the Condition
- Dehiscence of Amputation Stump
Summary
Dehiscence of an amputation stump refers to the reopening or failure of the surgical wound to heal properly at the site where an amputation has occurred. This can lead to exposure of the underlying tissues and may predispose the patient to infection or further complications.
Causes
- Mechanical stress on the stump
- Poorly fitted prosthetics
- Infection at the site
- Poor blood supply or circulation issues
- Systemic factors like diabetes or nutritional deficiencies
Risk Factors
- Advanced age
- Diabetes or other chronic health conditions
- Smoking, which can impair healing
- Use of certain medications like steroids
- Previous history of wound dehiscence
Symptoms
- Wound reopening at the amputation site
- Redness, swelling, or pain around the stump
- Fluid or pus discharge
- Fever if infection is present
Diagnosis
- Physical examination of the stump
- Medical imaging to assess underlying tissue
- Laboratory tests to identify infections
Treatment Options
- Wound care procedures, including cleaning and dressing changes
- Antibiotics if an infection is present
- Re-suturing of the wound or additional surgery in severe cases
- Proper fitting and adjustment of prosthetics
Prognosis and Follow-Up
- With timely and appropriate treatment, many patients can recover well.
- Regular follow-ups to monitor the healing process and adjust treatments or prosthetics as necessary.
Complications
- Infection spreading to deeper tissues
- Delayed healing impacting mobility and rehabilitation
- Need for revision surgery or re-amputation in severe cases
Lifestyle & Prevention
- Maintaining good hygiene and wound care practices
- Managing chronic health conditions effectively
- Avoiding smoking
- Ensuring proper fitting and usage of prosthetics
When to Seek Professional Help
- Increased pain or swelling around the amputation site
- Signs of infection such as redness, heat, or discharge
- Any changes in the appearance of the wound
Additional Resources
Tips for Medical Coders
- Ensure that the code T87.81 is used specifically for dehiscence of an amputation stump, not for other types of dehiscence.
- Verify the documentation to distinguish between this condition and complications related to non-amputated limbs.