Amputation care Flashcards
What is the most important part of any prosthesis
the patient (motor)
Special people can do extraordinary things _________ of their prosthesis
in spite of it
not due to it
What is the main cause of amputation
disease 74%
trauma 23%
What is the rule of where to amputate
preserve the most amount of limb possible!
What kind of amputation would someone get if they have gangrene affecting their toes
Transmetatarsal amputation (TMA)
What is the ideal tibia length for transtibial amputations
50% length or 8cm below knee
What is the ideal femur length for a trans-femoral amputation
75% femur length or 10cm above distal femur
Amputation should be thought of as a _____ surgery
reconstructive
a ______________ amputee is more likely to be a functional prosthetic user than a unilateral transfemoral amputee
bilateral trans tibial
Why do 50% of amputees over 60 discard their prosthesis in the 1st 6 months
d/t transportation issues to get to physical therapy to learn to use the prosthetic
What prosthetic patients will have the highest energy expenditure
transtibial 15-30%
transfemoral 40-65%
bilateral transtibial 125%
bilateral trans-femoral 240%
FAQ: “how long will it be before i can walk?”
Grab them a walker and we go on a walk now
FAQ: Can i return to work and do the same job?
Yes, probably
depends on the job
Post-op first 14 days
Pre-prosthetic rehab
crutch training, exercises
stump wrapping + shrinkers
Pain management
What contractures are common with trans-femoral
Hip flexion
hip external rotation
hip abduction
What contractures are common with Trans-tibial amputation
hip flexion
hip ER
Hip Abduction
Knee flexion
How do we want to position a Below knee amputation to prevent contractures
Hip extension/prone hip extension
What is the correct positioning to prevent above knee amputation contractures
Hip extension + hip internal rotation
for a transfemoral amputation, we emphasize _____ strengthening
hip extension
for a trans tibial amputation we emphasize ______ strengthening
knee flexion
Day 14-28 post op
Prepare amputee for prosthesis
shrink and shape stump
strengthen and maintain ROM
What are PPAM brackets?
for weight bearing and gait training prior to a pt having an orhotic
K1 level
Knee:
Foot:
K1 level
Knee: Single axis
Foot: SACH/ single axis foot
K2 level
Knee:
Foot:
K2 level
Knee: Safety knee, polycentric (4 bar) knee
Foot: flexible keel foot, multi-axis foot
