Amps Flashcards
When to consider primary LE amputation?
extensive foot lesions
severe co-morbidities
unfavorable anatomy for revascularization
What is 30d mortality for BKA?
7%
What are amputations used in infected states?
cryo amputation
guillotine
What pulse features can predict healing in amP?
pulse immediately proximal to amp site
What skin temp can predict healing in amp?
90F
What ankle pressure can predict healing in amp?
>60mmHg
What skin perfusion pressure can predict healing in amp?
>20mmHg
What tcP02 can predict healing in amp?
>20-30mmHg
What bones are divided for transmet?
metatarsals
What is the terminal bone for a lisfranc amp?
cuneiforms
What is the terminal bone in a Chopart amp?
talus and calcaneus
What is the terminal bone for a syme’s?
tibia fibula
What kind of flaps can you do for a transtibial amp?
sagittal flap
skew (sideways fishmouth)
fishmouth
medial
What muscles are in the anterior compartment of the thigh?
sartorius
quad femoris
tensor fascia lata
What muscles are in the medial compartment of the thigh?
gracillis
pectineus
adductor longus
adductor brevis
adductor magnus
What muscles are in the posterior compartment of the thigh?
biceps femoris
semitendinosus
semimembranosus
What muscles are in the posterior compartment of the thigh?
biceps femoris
semitendinosus
semimembranosus
List small vessel srteriopathies that might affect the hand?
scleroderma
RA
SLE
sjogrens
Buerger
What is normal wrist to brachial index?
0.85-1.0
What blood work to send for auto-immune workup?
ESR
CRP
antiphospholipid antibodies
ANA titer
rheumatoid factor
What digital pressure will predict healing of amp in the hand?
at the wrist?
>40mmHg
>60mmHg
Amputation Survival
Overall, the 30-day, 90-day, 1-year, and 5-year major lower extremity amputation mortality rates were 4.82%, 8.62%, 12.47%, and 18.11%, respectively. Corresponding weighted averages from mortality rates reported in the literature are 13%, 15.40%, 47.93%, and 60.60%, respectively
