comprehensive Care Of Patient Undergoing Amputation

Question 1

What is the main cause of amputation

Answer 1

74% disease ( PVD, diabetes , cancer)

Question 2

What is the rule when knowing where to amputate

Answer 2

Preserve the maximum limb length

Question 3

What are the preferred level of Lower leg amputation

Answer 3

• transmetatarsal
• syme
• transtibial

Question 4

T/F: amputation is ablation

Answer 4

False it is NOT

Question 5

T/F: a bilateral trans tibial is more likely to be functional prosthetic user than a unilateral trans femorla

Answer 5

True

Question 6

50% of amputees over ___ y/o discard their prosthesis in the first ___ months

Answer 6

60
6

Question 7

Which amputee uses the most energy expenditure

Answer 7

Bilateral trans femoral (240% and up)

Question 8

What should u do in the first 14 days post op for an amputee

Answer 8

• pre prosthetic rehab
• crutch train , exercise , heal
• stump wrapping + shrinkers
• pain management

Question 9

What are common contractures for a trans femoral (above the knee) amputee

Answer 9

• hip flexion
• hip ext rotation
• hip abduction

Question 10

What are common contractures for a **trans tibial ** (below the knee) amputee

Answer 10

• hip flexion
• external rotation
• hip abduction
• knee flexion

Question 11

How is the positioning for below the knee

Answer 11

Knee extensions/ prone hip extension

Question 12

How is the positions for AKA

Answer 12

Hip extension/ internal rotation/ adduction

Question 13

What mm strength should u emphasize for transfemoral

Answer 13

Hip extension

Question 14

What strength should u emphasize for a transtibial

Answer 14

Knee flexion

Question 15

For geriatrics what strength should u emphasize

Answer 15

Balance

Question 16

What should u do 14-28 days post op for an amputee

Answer 16

• prepare amputee for first prosthesis
• shrink + shape
• strengthen + maintain ROM

Question 17

When should u prepare an amputee for first prosthesis

Answer 17

14-28 days post op

Question 18

What are some edema management intervention

Answer 18

• ridge cast
• ace wraps
• stump shrinker
• early prosthetic fitting

Question 19

What are the goals of pre prosthetic treatment (6)

Answer 19

• regain strength + ROM
• promote healing + shrinking
• regain independent mobility
• help adjust physically + mentally to loss of limb
• maintain viability of other leg
• determine physical + emotional stability for a prosthesis

Question 20

What is level 0 for K modifiers

Answer 20

Does not have the ability or potential to ambulate or transfer safety with or without assistance and a prosthesis does not enhance their QOL

No prosthesis

Question 21

Does a Level 0 get a prosthesis

Answer 21

No

Question 22

What is level 1 for K modifiers

Answer 22

Has the ability of potential to use a prosthesis for transfers or ambulation on levle surfaces at a fixed cadence

Question 23

What kind of prosthesis can be used with a level 1 patient

Answer 23

• SACH or single axis foot
• single axis knee

Question 24

What is level 2 for the K modifiers

Answer 24

Has the ability or potential for ambulation with the ability to traverse low level environmental barriers such as curbs, stairs or uneven surfaces

Question 25

What **prosthesis** can be used with a **levle 2** patient

Answer 25

* flexible knee foot , multi axis foot * safety knee , polycentric (4 bar) knee

Question 26

What is **level 3** of the **K modifiers**

Answer 26

Has the ability or potential for ambulation with **variable cadence**

Question 27

What **prosthesis** can be used with a **level 3 pateint**

Answer 27

* dynamic response foot * hydraulic knee

Question 28

What is **level 4** of the **K** modifiers

Answer 28

Has the ability or potential for prosthetic ambulation that exceed basic ambulation skills

Question 29

What prosthetic can be used with a level 4 pateint

Answer 29

* sprinting foot or any foot/ankle combination * any knee

Question 30

What are u doing **21days -6 week** post op

Answer 30

* prosthetic fabrication * continue home PT

Question 31

What are u doing **3 weeks - 3 months** post op

Answer 31

* learn how to use prosthesis * refine prosthesis

Question 32

What is the pateint doing 3 month s- 2 years post of

Answer 32

* learn to master prosthesis * deal with physcial changes

Question 33

After their 2nd prosthesis when do they get a new leg

Answer 33

Every 3-5 years Children every 2 years

Question 34

What is an oseeointegration

Answer 34

Implanting man made load bearing devices directly into the bones and it bonds with the surrounding tissues

Question 35

What are potential benefits of OI

Answer 35

* direct prosthesis contrl with improved stability * improved ROM * increased functional capacity * improved wlaking * quick don and doff

Question 37

What is the ideal length for a BKA (tibia)

Answer 37

1/2 of tibia (50%)

Question 38

What is the ideal length of a femur for a AKA

Answer 38

3/4 of the femur

Question 39

For a transtibial amputation it is ideal for ___ if tibial length

Answer 39

50%

Question 40

For a transfemoral amputation it is ideal for ___ of femur length

Answer 40

75%

Question 41

what is the energy expenditure for a **trans tibial ampute**

Answer 41

15-30%

Question 42

what is the energy expenditure or a **trans fem** ampute

Answer 42

40-65%

Question 43

what is the energy expenditure or a **bilateral trans tibial** ampute

Answer 43

125%