Exam 1: Prosthetics Flashcards

1
Q

In the beginning, why were amputations performed

A

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

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2
Q

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

A

low

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3
Q

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

A

infection

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4
Q

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

A

function of limb

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5
Q

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

A

The world wars

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6
Q

___% of amputations are related to cancer

A

0.9

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7
Q

0.9% of amputations are related to ____

A

cancer

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8
Q

___% of amputations are related to trauma

A

16.4

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9
Q

16.4% of amputations are related to ____

A

trauma

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10
Q

___% of amputations are related to congenital anomalies

A

0.8

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11
Q

0.8% of amputations are related to _____ _____

A

congenital anomalies

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12
Q

___% of amputations are related to neuropathy and vascular conditions

A

81.9

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13
Q

81.9% of amputations are related to neuropathy and ______ ______

A

vascular conditions

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14
Q

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

A

Congenital anomalies
Cancer
Trauma
Neuropathy and vascular conditions

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15
Q

Which month is Limb Loss Awareness Month

A

April

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16
Q

How many people are living with limb loss

A

2 million

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17
Q

How many people have an amputation each year

A

185K

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18
Q

How many people lose a limb each day

A

507

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19
Q

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

A

36

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20
Q

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

A

3.6 million

21
Q

__% of people living with limb loss experience depression

A

36

22
Q

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

A

85

23
Q

Are female or males more likely to be an amputee

A

male

24
Q

Are upper limbs or lower limb amputations more common

A

lower

25
Q

What are the 11 levels of LE amputation

A
  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)
26
Q

Which level of LE amputation involves the tarsometatarsal disarticulation

A

Lisfranc

27
Q

Describe the Lisfranc level of LE amputation

A

tarsometatarsal disarticulation

28
Q

Which level of LE amputation involves the midtarsal disarticulation

A

Chopart

29
Q

Describe the Chopart level of LE amputation

A

midtarsal disarticulation

30
Q

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

A

Symes

31
Q

Describe the Symes level of LE amputation

A

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

32
Q

What are the three types of transtibial amputations

A

Short, standard, and long

33
Q

At what length is the standard transtibial amputation

A

ideally 6-7 inches of tibia

34
Q

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

A

50-66%

35
Q

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

A

shorter

36
Q

True or False:

A rotational limb surgery is preformed to an individual with an unhealthy lower limb

A

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

37
Q

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

A

circulation

38
Q

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

A

length and joints

39
Q

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

A

function

40
Q

Are small or large nerves cut during amputation

A

both

41
Q

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

A

cauterized

42
Q

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

A

myoplasty or myodesis

43
Q

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

A

muscles

44
Q

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

A

skin flaps

45
Q

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

A

comorbidities

46
Q

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

A

peripheral vascular disease

47
Q

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

A

trauma

48
Q

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

A

psychologically