Amputation - Epidemiology + Complications

Question 1

73% of amputations in Derby are due to ?.
8% are due to ?
7% are due to ?.
3% are due to ? disease.

Answer 1

dysvascularity
infection
trauma
neoplastic

Question 2

The two major amputation levels are ? (above-knee) or ? (below-knee).

The goal is to amputate at the most ? level that will remove the ? tissue whilst preserving ? residual limb ? and creating the best
environment for the rapid return of ? and ?.

Answer 2

transfemoral
transtibial
distal
diseased
functional 
length
mobility
fx

Question 3

? amputations are the most common amputation (2:1), and have markedly reduced perioperative ?.

? amputations most commonly occur with severe ? disease.

70% of transtibial amputees will ?, compared to only ?% of transfemoral amputees.

Answer 3

transtibial
mortality
transfemoral
vascular
walk
40

Question 4

Stump Pain;

Pain in the ? portion of the limb.

Generally resolves with ?
healing, but 15-30% report ? pain despite apparent wound healing; pathophysiology is ?.

Answer 4

residual
wound
persistent
unclear

Question 5

Phantom pain

• painful sensation of the ? limb occurs in 55-?%
• comes on a few ? after amputation, usually improves with ? but may be ?
• first line is ?, with pre-op ? to get the pain under control
• for a pt with established phantom pain, ?/?, ? of the contralateral limb, and ? support can all help.

Answer 5

missing
85
days
time
permanent
prevention
epidural
antidepressants/anticonvulsants
massage
psychological