Amputation Flashcards

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1
Q

Common Causes of Amputation

A
  • DM
  • Peripheral Vascular Disease
  • Trauma
  • Malignancy/primary site of tumor
  • Congenital anomaly
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2
Q

MESS

A
  • mangled extremity severity scale

- Examines 4 areas: skeletal/soft tissue, limb ischemia, presence of cardiovascular shock, age of pt

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3
Q

“Choice” Trans-femoral

A
  • 4-6 inches of residual limb

- ideal for vascularization and prosthetic fit

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4
Q

Selection of Surgical Site

A
  • limb salvaging procedures
  • blood supply
  • sensation
  • function of part
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5
Q

Closure Types

A
  • ant-post flaps of equal length

- posterior long flap (Burgess technique)

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6
Q

Post-Op Complications

A
  • skin break down
  • edema
  • scar formation
  • pain
  • bleeding
  • CONTRACTURES
  • phantom pain (neurogenic pain)
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7
Q

Patient Education

A
  • skin inspection
  • care of limb/prosthesis
  • limb wrapping/shrinker
  • socks on limb
  • positioning/contracture prevention
  • phantom pain
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8
Q

Other Treatment Modalities

A
  • Manual therapy

- electrotherapy: NMES, TENS, compression for edema

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