Exam 1: Prosthetics

Question 1

In the beginning, why were amputations performed

Answer 1

to save someone’s life form gangrene or an infection of that nature

Question 2

Early patients survival rates after amputation was (low/high) due to infection from surgery

Answer 2

low

Question 3

Early patients survival rates after amputation was low due to ____ from surgery

Answer 3

infection

Question 4

Over the years, surgical procedures were slowly perfected and the focus during surgery has been shifted to _____ of ____ post surgery

Answer 4

function of limb

Question 5

What time period allowed for great strides in advancement of surgical amputations

Answer 5

The world wars

Question 6

___% of amputations are related to cancer

Answer 6

0.9

Question 7

0.9% of amputations are related to ____

Answer 7

cancer

Question 8

___% of amputations are related to trauma

Answer 8

16.4

Question 9

16.4% of amputations are related to ____

Answer 9

trauma

Question 10

___% of amputations are related to congenital anomalies

Answer 10

0.8

Question 11

0.8% of amputations are related to _____ _____

Answer 11

congenital anomalies

Question 12

___% of amputations are related to neuropathy and vascular conditions

Answer 12

81.9

Question 13

81.9% of amputations are related to neuropathy and ______ ______

Answer 13

vascular conditions

Question 14

List the 4 causes of amputations from least common to most common

Answer 14

Congenital anomalies
Cancer
Trauma
Neuropathy and vascular conditions

Question 15

Which month is Limb Loss Awareness Month

Answer 15

April

Question 16

How many people are living with limb loss

Answer 16

2 million

Question 17

How many people have an amputation each year

Answer 17

185K

Question 18

How many people lose a limb each day

Answer 18

507

Question 19

How many military personnel lose a limb as a result of a war

Answer 19

36

Question 20

It’s estimated that ___ million people will be living with limb loss by 2050

Answer 20

3.6 million

Question 21

__% of people living with limb loss experience depression

Answer 21

36

Question 22

___% of lower limb amputations are preceded by a foot ulcer

Answer 22

85

Question 23

Are female or males more likely to be an amputee

Answer 23

male

Question 24

Are upper limbs or lower limb amputations more common

Answer 24

lower

Question 25

What are the 11 levels of LE amputation

Answer 25

1. Toes 2. Metatarsal Head resection 3. Ray resection 4. Transmetatarsal 5. Lisfranc 6. Chopart 7. Symes 8. Transtibial 9. Knee disarticulation and transcondylar 10. Transfemoral 11. Hip disarticulation and hemipelvectomy (transpelvic)

Question 26

Which level of LE amputation involves the tarsometatarsal disarticulation

Answer 26

Lisfranc

Question 27

Describe the Lisfranc level of LE amputation

Answer 27

tarsometatarsal disarticulation

Question 28

Which level of LE amputation involves the midtarsal disarticulation

Answer 28

Chopart

Question 29

Describe the Chopart level of LE amputation

Answer 29

midtarsal disarticulation

Question 30

Which level of LE amputation involves the disarticulation of talocrural, trims malleoli to make a flat weight bearing surface and positions fad pad of heel under distal tib/fib

Answer 30

Symes

Question 31

Describe the Symes level of LE amputation

Answer 31

disarticulation of talocrural, trims malleoli to make a flat weight bearing surface and positions fad pad of heel under distal tib/fib

Question 32

What are the three types of transtibial amputations

Answer 32

Short, standard, and long

Question 33

At what length is the standard transtibial amputation

Answer 33

ideally 6-7 inches of tibia

Question 34

A transfemoral amputation ideally preserves ___-___% of femoral length

Answer 34

50-66%

Question 35

The (shorter/longer) the femur is after amputation, the harder the residual limb will have to work to advance/move a prosthesis

Answer 35

shorter

Question 36

True or False: A rotational limb surgery is preformed to an individual with an unhealthy lower limb

Answer 36

False, it must be healthy in order for the surgery to be a success

Question 37

There are several basic principles to amputations. One of them is that there must be adequate _____ to ensure healing of incision

Answer 37

circulation

Question 38

There are several basic principles to amputations. One of them is that preservation of ____ and ____ to provide increased function

Answer 38

length and joints

Question 39

There are several basic principles to amputations. One of them is that preservation of length and joints to provide increased ____

Answer 39

function

Question 40

Are small or large nerves cut during amputation

Answer 40

both

Question 41

There are several basic principles to amputations. One of them is that during amputation, bleeding vessels are _____

Answer 41

cauterized

Question 42

There are several basic principles to amputations. One of them is that _______ is used to secure muscle

Answer 42

myoplasty or myodesis

Question 43

There are several basic principles to amputations. One of them is that myoplasty or myodesis is used to secure ____ during amp

Answer 43

muscles

Question 44

There are several basic principles to amputations. One of them is that ____ ____ are shaped to ensure a residual limb can easily manage a prosthetic

Answer 44

skin flaps

Question 45

There are several basic principles to amputations. One of them is that in most cases, especially peripheral vascular disease, there are usually other ________ that must be managed with these patients

Answer 45

comorbidities

Question 46

There are several basic principles to amputations. One of them is that in most cases, especially _____ _____ _____, there are usually other comorbidities that must be managed with these patients

Answer 46

peripheral vascular disease

Question 47

There are several basic principles to amputations. One of them is that all patients with amputation, especially ones due to _____, need to be managed psychologically due to the loss of the limb and the grieving process that comes with it

Answer 47

trauma

Question 48

There are several basic principles to amputations. One of them is that all patients with amputation, especially ones due to trauma need to be managed _______ due to the loss of the limb and the grieving process that comes with it

Answer 48

psychologically