5.2- Amputation 2- Equipment Flashcards
BK- what is used as an important first step?
temporary BK prosthetic- fitted after would is healed, but before swelling is down
BK- why is walking an important initial consideration?
best way to decrease swelling and shape stump
BK initial considerations- What must be assessed?
- Ability to transfer in bed and wheelchair
- Cognitive state
- Family status
- Endurance
- Ambulate with walker without prosthetic
BK Fitting- ROM
Most have flexion contracture, if bad the prosthetist issues a _____ first. If minor, using the prosthetic will ______.
stretching program
stretch it out
How long does it take to make prosthetic from cast?
1-2 weeks
What are two types of BK sockets?
- Total contact socket
2. Patellar tendon bearing socket
- the shell that is in contact with the stump
- must be in complete contact with all areas of the stump, but no excessive pressure
- areas not in contact will swell excessively
Total Contact Socket
______ - occurs where not making total contact
Enduration (Brawny edema)
What should you do if too much contact of stump and prosthesis? (BK)
Add socks
PTB socket transfers body weight to ____, ____, and ____.
patellar tendon, anterior tib, gastroc
BK Suspension-
Waist belt not used much anymore. Supracondular cuff goes around the femoral condyles and is good for ______.
Knee hyperextension
What are the 4 types of suspension of BK?
- Waist belt
- Supracondular cuff
- Pin system
- Neopreen sleeve
What is the most common BK suspension?
Pin system- pin on distal end of the sleeve locks into the prosthesis
- can be use with permanent prosthesis
- rolled up leg, grips onto skin to hold up
Neopreen sleeve
What type of suspension is used with a vacuum system?
Neopreen sleeve
What type of suspension is good for preventing knee hyperextension?
Supracondular cuff
____- metal bar with foam over it to look like other leg and is very easy to adjust
Endoskeleton (most common)
___- hard outer covering made of plastic and is durable
Exoskeleton
What is a SACH foot?
Solid ankle, cushioned heel
- foot of choice for temporaries, older adults, kids
What is an advantage to a SACH foot? A disadvantage?
Advantage- cheap and durable
Disadvantage- can’t have a normal gait pattern b/c no DF/PF- unable to go up ramps, drive, or be an uneven terrain
What order do you follow to don a prosthesis?
- Liner
- Socks
- Pants
- Prosthesis
- Strap suspension
(6. Assess Pressure)
AK or BK?
Good cognition b/c they are learning a new gait pattern
AK
-rely on hip extension and weightbearing to keep artificial knee locked
How is an AK prosthesis fitted differently than a BK?
BK is casted.
AK has extensive measurements taken and based on those the person is put into a prefab socket
_____- has a posterior lip that allows the ischium to sit on it- where most of the body weight is loaded
Soft socket (AK)
