Amputations Flashcards
Etiology
PVD (most common- Type 2 diabetics)
Trauma
Malignancy
Infection
Congenital deficiency
Residual limb
The part of the limb that is left
Common levels of amputation- LE (foot)
Partial toe amputation
Toe disarticulation
Ray resection
Transmetatarsal
Lisfranc (not done anymore commonly)
Chopart (not done anymore commonly)
Syme’s
Amp through malleoli
Transtibial
Amp through tibia
Knee disarticulation
Disarticulation at the tibiofemoral jt
Transfemorla
Above knee through femur
Transtibial amp ad and disad
Ad
- greater potential of ambulation
- decreased energy expenditure w ambulating
Disad
- not a weight bearing end
- bony prominences are at increased risk for skin breakdown
Transfemoral amp
Ad
- greater healing in vascular amputees
Disad
- not a weight bearing end
- lower potential for ambulations
- increased energy expenditure
Rotationplasty
Take the thigh and replace with tibia and foot and rotate it backwards at the knee. So the ankle acts as a knee
Removal of a boney tumor
Postsurgical dressings
Rigid dressing
Semi-rigid
Soft
Goals of post surgical dressings
Control edema
Prevent infections
Protect limb from external, trauma
Shape residuum in preparation for prosthesis
Rigid dressing- types
Non-removable
- immediate postoperative prosthesis (IPOP)
Removal
- removable rigid dressing
Semi-rigid- paste and ads/disad
Unna’s paste
Good edema control, removable for inspection
May loosen easily and needs frequent changes
Sorts dressings- types and ads/disads
Elastic wraps
-Easily removable if there is an infection and cheap
-Poor edema control and minimal protection
Elastic Shrinkers
- socklike garment
- easily to apply with good edema control and stump shaping
- requires changing of size as residuum shrinks (correct size essential)