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Avoid wearing the prosthesis until the ulcer is healed and perform local wound care.
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Obtain a new prosthesis with an energy-storing foot to dampen impact.
Perform local wound care in conjunction with modification of the prosthetic socket and cushioned liner.
Excise the wound and advance the soft-tissue envelope.
Perform a distal tibiofibular bone bridge and advance the soft-tissue envelope.
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The first step in the treatment of an amputation residual limb (stump) ulcer is local wound care and adjustment of the residual limb-prosthetic interface, as well as adjusting prosthetic alignment. Surgical revision should be undertaken only when prosthetic modification is unsuccessful.
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