An evaluation of the use of propolis in the treatment of skin disorders on the stumps of patients in rehabilitation following lower limb limb amputation.

Background. Skin disorders on the stumps of patients with lower limb amputations constitute a hindrance, even a major obstacle to installing and wearing prostheses. This is turn disorganizes the patient's return to normal activity and reduces his quality of life. Treatment of these disorders is difficult and often requires much time. The use of propolis as the treatment method of choice in skin disorders and deficits on post-amputation stumps is suggested by its antibacterial, analgesic, and regenerative action on affected tissues. Material and methods. Our research covered 156 lower limb amputees, including 55 upper leg amputees (group A) and 101 lower leg amputees (group B). Those patients qualified for treatment received 4% propolis ointment applied to the wound twice daily for 7 days: in the absence of satisfactory results, treatment was prolonged to 14 days. Outcome was evaluated by observation, clinical history, and a 4-point outcome scale. Results. Group A showed somewhat better outcome than group B. The best results in both groups were obtained by patients with staphylococcus infections. Propolis ointment acting locally on the skin improved circulation, stimulates intracellular metabolism and changes the reactivity of the skin. Propolis ointment is both mild and effective. No complications were observed. Conclusions. Propolis ointment can be used more widely in the treatment of local disturbances of trophicity, as well as skin disorders and deficits on stumps. Better results are obtained when there is adequate blood supply to the place of treatment.