Amputation Surgery - Medicare (K levels)

Question 1

most common amputation surgery

Answer 1

bellow knee 47%

above knee 31%

Question 2

Number one predisposing factors for LE Amputation

Answer 2

• DM
• HTN
• PVD
• Age
• History of smoking
• Males > Females

Question 3

…if you have one amputation due to DM, what are the chances of having a second one?

Answer 3

50%

Question 4

70% of amputations in USA are due to

Answer 4

dysvascular diseases

Question 5

amputation at one of the metatarsal-tarsal joint is called

Answer 5

Ray Disarticulation

Question 6

what is a ray resection?

Answer 6

cut through a metatarsal (not all)

Question 7

Ankle Disarticulation AKA

Answer 7

Syme’s

Question 8

Amputation is a _______ surgery it should NOT be viewed as a failure of treatment

Answer 8

reCONSTRUCTIVE

Question 9

which type of amputation will be performed in the presence of sepsis or infection?

Answer 9

Open Amputation

(When healthy a definitive amputation is made)

Question 10

How is this amputation procedure called?

Answer 10

Ertl procedure

Question 11

how is this incision called?

Answer 11

Conventional: Fishmouth

Question 12

refers to the anchoring of muscle or tendon to bone using sutures that are passed through small holes drilled in the bone

Answer 12

MYODESIS

Question 13

K level Medicare

Non-ambulatory. Not a prosthetic candidate

Answer 13

K0

Question 14

Medicare K level

Has the ability or potential to use a prosthesis for transfers or ambulation on level surfaces at fixed cadences. Household ambulation.

Answer 14

K1

Basic devices

Question 15

Medicare K level

Has the ability or potential to use a prosthesis to get over curbs, ramps, uneven surfaces, or stairs. Limited community ambulator:

Answer 15

K2

Multi-axis, flex keel

Question 16

Medicare K level

Has the ability or potential to use a prosthesis with variable cadence. Community ambulation:

Answer 16

K3

• Dynamic feet
• Fluid and pneumatic kness

Question 17

Has the ability or potential to use a prosthesis that exceeds basic ambulation skills, exhibiting high impact, stress, or energy levels. Typical for use with children, active adults, or athletes.

Answer 17

K4

Any feet and kness

Question 18

disarticulation of all metatarsals

Answer 18

Lisfranc’s amputation

Question 19

disarticulation of all tarsal bones

Answer 19

Chopart’s amputation

Question 20

in this type of amputation muscles & tendons are attached to one another

Answer 20

Myoplasty

Question 21

in a transtibial myoplasty…

Answer 21

gastrocsoleus sutured to anterior tibialis muscle

Question 22

in a transfemoral myoplasty

Answer 22

adductors to vastus lateralis & hamstrings to quads