Amputations Flashcards

1
Q
A
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2
Q

When to consider primary LE amputation?

A

extensive foot lesions
severe co-morbidities
unfavorable anatomy for revascularization

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3
Q

What is 30d mortality for BKA?

A

7%

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4
Q

What are amputations used in infected states?

A

cryo amputation
guillotine

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5
Q

What pulse features can predict healing in amP?

A

pulse immediately proximal to amp site

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6
Q

What skin temp can predict healing in amp?

A

90F

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7
Q

What ankle pressure can predict healing in amp?

A

>60mmHg

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8
Q

What skin perfusion pressure can predict healing in amp?

A

>20mmHg

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9
Q

What tcP02 can predict healing in amp?

A

>20-30mmHg

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10
Q

What bones are divided for transmet?

A

metatarsals

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11
Q

What is the terminal bone for a lisfranc amp?

A

cuneiforms

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12
Q

What is the terminal bone in a Chopart amp?

A

talus and calcaneus

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13
Q

What is the terminal bone for a syme’s?

A

tibia fibula

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14
Q

What kind of flaps can you do for a transtibial amp?

A

sagittal flap
skew (sideways fishmouth)
fishmouth
medial

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15
Q

What muscles are in the anterior compartment of the thigh?

A

sartorius
quad femoris
tensor fascia lata

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16
Q

What muscles are in the medial compartment of the thigh?

A

gracillis
pectineus
adductor longus
adductor brevis
adductor magnus

17
Q

What muscles are in the posterior compartment of the thigh?

A

biceps femoris
semitendinosus
semimembranosus

18
Q

What muscles are in the posterior compartment of the thigh?

A

biceps femoris
semitendinosus
semimembranosus

19
Q

List small vessel srteriopathies that might affect the hand?

A

scleroderma
RA
SLE
sjogrens
Buerger

20
Q

What is normal wrist to brachial index?

A

0.85-1.0

21
Q

What blood work to send for auto-immune workup?

A

ESR
CRP
antiphospholipid antibodies
ANA titer
rheumatoid factor

22
Q

What digital pressure will predict healing of amp in the hand?
at the wrist?

A

>40mmHg
>60mmHg