Amputations Flashcards
1
Q
what is the best length for a residual limb in a blow knee amputation?
A
6 inches
2
Q
ERTL procedure
A
-creating a bone bridge using fibula bone graft and tibia periosteum
3
Q
outcome of the ERTL procedure
A
- longer recovery time
- pt and end-bear weight
- different prosthetic fitting
- often fails
4
Q
LE amputation classifications from lowest to highest
A
- foot amputation
- transtibial
- knee disarticulation
- transfemoral
- hip disarticulation
5
Q
UE amputation classifications from lowest to highest
A
- wrist disarticulation
- transradial
- transhumeral
- shoulder disarticulation
- forequarter amputation
6
Q
wound care after amputation
A
- wound vac
- ice cube therapy or anything to desensitize the incision
7
Q
how to ensure the limb is ready to be put into a prosthetic
A
either figure 8 wrap or shrinker sock
8
Q
what is essential to overall good health and quality of life after amputation?
A
physical therapy
9
Q
prevalence of phantom limb pain
A
- 60-80% of amputees experience phantom sensations in amputated limb
- majority are painful
- occurs w/i a few days of amputation in 75% of pts
- can be months to even years later
10
Q
common types of phantom pains
A
- cramping
- shooting
- stabbing
- burning
11
Q
non pharmaceutical tx of phantom limb pain
A
- “calming the waves”
- artificial visual feedback (w/ mirror)
- massage
- cold packs
- exercise
- neuromusclar stimulation by external electrical currents
- acupuncture
- regional sympathectomy
12
Q
medications for phantom limb pain
A
- gabapentin
- amyitriptyline
- carbamazepine
- phenytoin
