Acquired Amputation

Question 1

what are acquired amputations

Answer 1

secondary to trauma

96-99% of limb losses

LE more common

Question 2

epidemiology of acquired amou

Answer 2

6-18 yo

more distal

males

single limb

Question 3

causes of acquired amputation

Answer 3

trauma - more common and usually single limb, LE and males

tumors: 12-21 yo; sarcoma

neurologic disorder

infections

Question 4

usual causes of UE ampu

Answer 4

more common in adults

trauma mostly and tumors

Question 5

usual causes of LE ampu

Answer 5

vascular disease

trauma

tumors

Question 6

general principles for surgical approach

Answer 6

preserve length, growth plates and perform disarticulation

preserve knee joint
stab proximal portions

Question 7

symes ampu

Answer 7

ankle disarticulation

remove foot keep tibia and fibula

Question 8

boyd’s

Answer 8

ampu through talonavicular and calcaneoucuboid

then fix calcaneus to tibia

Question 9

pirogoff

Answer 9

ampu of forefoot and talus

calcaneotibial arthrodesis

Question 10

chopart’s

Answer 10

transtarsal

Question 11

lisfranc’s

Answer 11

tarsometatarsal

Question 12

usual complications of ampu

Answer 12

terminal overgrowth or spiking - most common

bone spurs

phantom sensation and limb pain

overuse syndromes

contractures

skin concers

physio grieving

poor fit of prosthesis

Question 13

K0 - functional level 0

Answer 13

cant and no potential to ambu and transfer

Question 14

K1 - functional level 1

Answer 14

has ability or potential for transfer and amb at level surfaces at fixed cadence

limitied/unlimited household ambu

Question 15

K2 - functional level 2

Answer 15

low level environmental barriers - curbs, stairs or uneven surface

limited comm amb

Question 16

K3 - functional level 3

Answer 16

ambu c variable cadence and most barriers

comm amb

Question 17

K4 - functional level 4

Answer 17

exceeds basic amb - sports, athelete, acitve

Question 18

discuss specific complications for congenital limb ampu

Answer 18

few complications

adapts easier

scolio common if uni

Question 19

discuss specific complications for acquired limb ampu

Answer 19

more compi and diff training

Question 20

discuss prosthetic acceptance in UE

Answer 20

variable since hand is hard to replace

sensory and fine motor hard

Question 21

discuss prosthetic acceptance in LE

Answer 21

rarely removed kase gait

high acceptance

Question 22

UE prosthesis is considered at what age

Answer 22

3-6 mo

more compli: 11-13 mo

Question 23

timing for passive UE device

Answer 23

6 mo. when sitting indep

Question 24

timing for active terminal UE device

Answer 24

12-15 mo when amb

Question 25

timing for body powered UE device

Answer 25

1 yo

Question 26

timing for myoelectric UE device

Answer 26

2 yo

Question 27

timing for SACH

Answer 27

infancy

Question 28

timing for energy storing-releasing feet

Answer 28

toddler

Question 29

timing for knee joint

Answer 29

2-3 yo c mental age of 3-5 yo

Question 30

lightweight extension of limb

Answer 30

6 mo

Question 31

prosthesis c WB

Answer 31

9-10 mo when child can pull to stand

Question 32

lockable knee joint

Answer 32

2.5 - 3 yo

Question 33

heel to stride length develops

Answer 33

2 yo

Question 34

single leg stand c help

Answer 34

20 mo

Question 35

single leg momentarily

Answer 35

3 yo

Question 36

stands for several sec single leg

Answer 36

4 yo

Question 37

can stand on one foot longer

Answer 37

5 yo

Question 38

how do toddlers stand and amb

Answer 38

wide base

Question 39

when to change LE prosthesis

Answer 39

anually until 5yo

every 2 yrs bet 5-12 yo

every 3-4 yrs until adulthood