Chap 117 LE and UE Amputations Flashcards
When to consider primary LE amputation?
extensive foot lesions
severe co-morbidities
unfavorable anatomy for revascularization
What is 30d mortality for BKA?
7%
What are amputations used in infected states?
cryo amputation
guillotine
What pulse features can predict healing in amP?
pulse immediately proximal to amp site
What skin temp can predict healing in amp?
90F
What ankle pressure can predict healing in amp?
> 60mmHg
What skin perfusion pressure can predict healing in amp?
> 20mmHg
What tcP02 can predict healing in amp?
> 20-30mmHg
What bones are divided for transmet?
metatarsals
What is the terminal bone for a lisfranc amp?
cuneiforms
What is the terminal bone in a Chopart amp?
talus and calcaneus
What is the terminal bone for a syme’s?
tibia fibula
What kind of flaps can you do for a transtibial amp?
sagittal flap
skew (sideways fishmouth)
fishmouth
medial
What muscles are in the anterior compartment of the thigh?
sartorius
quad femoris
tensor fascia lata
What muscles are in the medial compartment of the thigh?
gracillis pectineus adductor longus adductor brevis adductor magnus