Amputation Flashcards
No digits(finger/toes)
Adactylia
No hands
Acheinia
No feet
Apodia
No or short arm and forearm
Phocomelia/seal limb
No upper ex
Amelia
A major part of a extremity is missing usually the distal 2/3
Hemimelia
Most common auto amputation
ABS/streeters dse
Constricting band syndrome
Most leading cause of LE amputation
Vascular dse
PVD
Most common cause of UE amputation
Trauma
Very short above elbow amputation percentage of stump length
0-30
short above elbow amputation percentage of stump length
30-50
Standard above elbow amputation percentage of stump length
50-90
Long above elbow amputation percentage of stump length
90-100
Below amputation amputation percentage of stump lenght
0-30 very short
35-55 short
55-90 long
Transmetatarsal joint amputation
Lisfrancs
Mid tarsal amputation
Bw talonavicular + calcaneocuboid
Choparts
Removal of talus or talar bone but preserved heel pad
Talectomy
Horizontal resection of calcaneus
Boyd
Vertical resection of calcaneus
Pirogoff (vertigoff)code
Ankle disarticulation
Symes
Shape of BKA stump
Cylindrical
Code: Bcy Aco
Standard length of below knee amputation
20-50%
Gritti strokes amputation
Osteoplasty
Code: Ogri miles
Patella serves as the distal end
Osteoplasty/gritti-strokes amputation
Kirk calendar
Tenoplasty
Code: TeKiCa
Quads tendon serves as the distal end of the amputation
Tenoplasty/kirk calendar
Standard size of above knee amputation/transfemoral amputation”
35-60% below the hip joint or groin
Shape of above knee amputation
Conical
Code:Bcy Aco
Strenthening of what group pf ms for AKA
Extensor and adductors(opposite of the contracture position)
Prosthesis for hip disarticulation
CHDP(canadian hip disarticulation prosthesis)
Resection of the lower half of the pelvis
Hemipelvectomy
Removal of the whole pelvis
What level
Prosthesis
Hemicorporectomy
Below L4-L5
Double CHDP
Most common acquired amputation
UE
LE
R transradial
Transtibial
UE stump shape
Any
If best cylindrical
Cutting of nerves under tension
This prevents what
Retraction
Prevents neuroma formation at the distal stump
Best treatment for phantom limb or pain
Wear a prosthesis
Most physiologic stabilization procedure
Tenodesis
Ms connected to a bone
Myodesis
Ms connected to a tendon
Tenodesis
Ms connected to a ms
Myoplasty
Due to tight bandaging
+) yellow brownish skin(accom. Of hemosiderin
Choke syndrome
Wt bearing part of the SACH that is made up of wood
Keel
Stiff cushion heel
Knee tends to
Ankle tends to
Flex
DF(extend)
Soft cushion heel
Knee tends to
Ankle tends to
Extend
PF(flex)
Type of keel For leverage of gait
Seattle/C shaped keel
Short carbon copygraphite is for
Running
Ling carbon copy graphite is for
Walking
Spring module that is perfect for push of and toe off
Quantum
FAA(foot ankle assembly) continous as a shank piece
Flexfoot
Single axis permits how many degrees of DF and PF
Df 5
Pf 15
Aka crustacean leg
External frame
Hollow inside
Exoskeleton
Aka pylon, modular or central support
Most common type of shank
Endoskeleton
Type of socket that prevents edema formation dt its greater contactsurface
Most commonly used
Patellar tendon bearing(ptb)
Typeof socket
C good ventilation
Thin to dissipate heat
Translucent
ISNY
Icelandish swedish newyork
Most common non articulated foot ankle assembly
SACH
Most commonly used type of friction
Constant friction
Wb part of quadrilateral socket
Ischial tuberosity
Wb of iscial containment socket
Ischio pubic ramus
Type of socket for mobility
Ischial containment
Prosthesis for bilat. Above knee ampu.
If height is not an issue
No shank and assembly
Stubby prosthesis
Stubby prosthesis lowers height by how many inches”
12 inches(1 feet)
Other name for partial suction suspension
Silesian belt
The only gait deviation for a short prosthesis
Lateral trunk bending
If the Shank is aligned in valgus position what gait deviation.
Wide walking base
If the socket has inadequate suspension(pistoning) what gait deviation
Circumduction
Long prosthesis gait dev
Circumduction
Tiptoeing of good side during the midpoint of stance
Vaulting
Improper alignment of the knee bolt will lead to what type of gait
Swing phase whip
Too hard heel cuhion orPF bumper gait dev
Lat rot at heel strike
Pf is too soft gait dev
Foot slap
Hyper extended knee during heel strike(quick abrupt HS)
Terminal impact
Below knee pressure tolerant
Ischial tub
Gluteals
Lat side of residual limb
BK pressure sensitive
Ant tibia
Ant crest
Fibular head and neck
Peroneal nerve
AK pressure tolerant areas
Patellar tendon
Med tibial plateau
Tibia and fibular shaft
Distal end(rare)
AKpressure sensitive areas
Disto lateral end of femur
Pubic symphysis
Perineal area
Child can already move hands to the midline
3-6 mos
Pediatric readiness age for LE prosthesis
8-10 mos
Pedia
Active terminal device(age)
2y/o
Pedia
Active elbow unit(age)
2-3y/o
Pedia Functional hand(age)
3y/o
Pedia
Active knee joint(age)
3-4y/o
Golden period of prosthetic fitting
Within 30 days or 1 mos
Pediatric check out of UEand LE prosthesis
Age:0-5
Anually
Pediatric check out of UE prosthesis
Age:5-12y/o
Every 18 mos/1 1/2 yrs
Pediatric check out of prosthesis LE
Age: 5-12
Bianually/ 2yrs
Pediatric check out of prosthesis UE/LE
Age: 12-21
Every 3-4 yrs
Normal lifespan of prosthesis
3 years
Most commonly used prehension in a terminal device
3 jaw chuck
Terminal device for cosmesis and doesnt move
Passive cosmesis
Terminal device that uses ms (+)motor unit that is sensitive to contraction
Myoelectric or externally powered
Terminl device that uses harness or pulley system (-)motor unit actual movements used to control
Body powered hands
Most common and most fxnal body powered hands that uses less energy expenditure
Voluntary opening
Most physiologic type of body powered hands
Voluntary closed
Makes terminal device whole
Controlled device
Controlled device that enclosed in one case
Bowder
Controlled device that enclosed in two case
More complex
Fair lead
Elbow unit provides how many degrees of flexion
5-135(almost normal)
No full extension
Cradle of the stump
Socket
Socket for infants
Low pressure socket
+middle wall
3walled socket
Very short below elbow amputation
Muenster socket
Most common suspension device
Figure of 8
Most effective suspension device
Suction suspension