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Basecamp: MSK > Amputations and Prosthetics 2 > Flashcards

Amputations and Prosthetics 2 Flashcards

1
Q

covering types of post op dressing

A

same same

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2
Q

advantage of rigid plaster dressing

A

allows early amb with pylon

promotes circulation and healing

stimulates proproception

provides protection

provides soft tisssue support

limits edema

ability to utilize an IPOP ( immediate post op prothesis)

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3
Q

what are the disadvantages of rigid plaster dressing - amp

A

immediate wound inspection is not possible

does not allow for daily dressing changes

requires professional application

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4
Q

advantages of non-weight bearing rigid removable limb protectors

A

removeable

accommodates edema flucs

easily applied

prevents contractures

provide protection

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5
Q

disadvantages of non-weight bearing rigid removable limb protectors

A

not fot amb purpose

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6
Q

advantages of semi rigid (unna paste, air splint)

A

reduces post-op edmea

provides soft tissue support

provides protection

easily changeable

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7
Q

disadvantages of semi rigid (unna paste, air splint)

A

does not protect as well as other rigid dressings

requires more changing then rigid dressing

may loosen and allow for development of edema

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8
Q

advantages of soft dressing (ace wrap, shrinker)

A

reduces post op edema

provides some protection

inexpensive

easily removable for wound inspection

allows for active joint ROM

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9
Q

disadvantages of soft dressing (ace wrap, shrinker) - tissue healing

A

tissue healing is intterupted with freq dress changes

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10
Q

disadvantages of soft dressing (ace wrap, shrinker) - joint ROM

A

may delay wound healing

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11
Q

disadvantages of soft dressing (ace wrap, shrinker) - residual pain

A

less control of residual limb pain

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12
Q

disadvantages of soft dressing (ace wrap, shrinker) - tension

A

cannot control the amount of tension in the bandage

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13
Q

disadvantages of soft dressing (ace wrap, shrinker) - shrinker

A

shrinker cannot be applied until suture/ staples are removed

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14
Q

over

A

over

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15
Q

how do we wrap the residual limb

A

no in circles

diagonal and angular patterns should be used

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16
Q

where do we anchor wrap for tranfemoral amp

A

anchor wrap at the pelvis

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17
Q

how long should the wrap be for UE

A

2-4 inches

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18
Q

how long should the wrap be for LE

A

3-4 inches

19
Q

how long does the preprothetic phase last for

20
Q

what is the therapy focus during the pre-pro phase

A

protect the limb

preventing contractures

single limb mobility skills

and preparing the pt for the pro phase of rehab

21
Q

what is a IPOP

A

and immediate post-op pro

allows for immediate WB on temp pro

22
Q

when is a pt fit for their pro

A

once the suture and staple are removed

limb is healed

4-6 weeks

23
Q

when can a pt start to wear a shrinker

A

once the staples are removed

24
Q

is the first pro the pt received their permanent pro

A

no they have with be comfortable in it and their limb volumes to stabilize

25
Q

K0

A

prothesis with no enhance quality of life or mobility

wheel chair bound

26
Q

K1

A

house hold amb

transfers, amb on level surfaces, fixed cadance

27
Q

K2

A

transfer low level barriers: curbs, stairs, uneven surfaces

limited community amb

28
Q

K3

A

community amb

varible cadence, transfer most eviro barriers, pro use below simple amb

29
Q

K4

A

exceeds basic amb skill

sports

normally a child, athlete, or an active adults

30
Q

complications following amp

31
Q

contractures 2/2

A

failure to start ROM early

poor postioning of the residual limb

32
Q

what area are contracture most likely

A

joint just proximal to the amp

33
Q

transmetarsal and syme’s - contracture

34
Q

transtibial contracture

A

knee flexion

35
Q

transfemoral contracture

A

hip flexion and abd

36
Q

what is deep vein thrombosis -

A

a blood clot that form in a vien with potential to dislodge as a embolism and travel until it blocks an art

37
Q

what medication is often used in the case of DVT

38
Q

what is the impact of hypersensitivity

A

sig impefe or even prevent the approciate fit of a pro

39
Q

what are some method to mitigate hypersen

A

weright bearing

massage

tapping

residual limb wrapping

40
Q

what is neroma

A

a bundle of nerve fendings that group together and can produce pain due to scar tissue, pressure from pro or tension over the limb

41
Q

what is phantom limb

A

painless senstation where the pt feels that the limb is still present

42
Q

how do we combat phantom limb

A

pro use and densensitation

43
Q

what is phantom pain

A

pt perception of some form of painful stim as it relates to the residual limb

pain of any type

44
Q

treatment for phantom pain

A

TENS

ultrasound

icing

mirror therapy

relaxation techniques

desentization

Basecamp: MSK (30 decks)

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