Abstract
High-energy mine-blast injury is a severe injury resulting from the impact of a blast wave and mine fragments, leading to extensive damage to tissues, bones and internal organs. The relevance of studying the consequences of high-energy mine-blast injury, in particular postamputation pain, is due to the growing number of victims in modern military conflicts and terrorist attacks. According to a series of studies, the incidence of postamputation pain after lower limb amputation caused by high-energy mine-blast injury increases widely, reaching 50–80%. The article presents a сlinical case of postamputation pain after high-energy mine-blast injury, the peculiarity of which is a high intensity, a combination of several “provocateurs” of pain and resistance to standard treatment methods. In the described case, in the absence of obvious anxiety-depressive states, there were morphological substrates supporting postamputation pain – terminal neuromas of the right tibial and peroneal nerves, osteophytes on the right fibula, as well as foreign metal bodies (fragments) in the stump of the right lower limb. It is noteworthy that after eliminating the above factors by performing reamputation of the stump of the right lower limb and thermal radiofrequency ablation of the right peroneal and tibial nerves, postamputation pain practically regressed. Analysis of the relationship between morphological factors and the clinical picture of postamputation pain allows us to deepen our understanding of the pathogenesis of this condition and outline possible directions for developing more effective strategies for diagnosis, treatment and rehabilitation.
Keywords: pain, postamputation pain, high-energy injury, mine-blast injury.
Keywords: pain, postamputation pain, high-energy injury, mine-blast injury.
For citation:Rachin S.A., Topolyanskaya S.V., Melkonyan G.G., Lytkina K.A. Clinical case of postamputation pain after high-energy mine-blast injury. Clinical review for general practice. 2025; 6 (10): 128–132 (In Russ.). DOI: 10.47407/kr2025.6.10.00703
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