Other Flashcards
Increase in metabolic demands after BKA
Long = 10% Traumatic = 25% Short = 40% Bilateral = 40% Vascular = 40%
Increase in metabolic demands after AKA
Traumatic = 68% Vascular = 100% Bilateral = >200%
Contraindications to hyperbaric O2 therapy
Chemo or radiation
Implanted devices
Undrained PTX
Advantages of trans-radial amp vs wrist disarticulation
More aesthetic
Better prosthesis fit
Better for brachial plexopathy
Elbow disarticulation vs. trans-humeral amp for kids
Do elbow disarticulation
Prevents bony overgrowth
Do disarticulations in kids
If BKA prosthesis is placed forward
Increased knee extension
Patellar pain
If BKA prosthesis is placed posteriorly
Increased knee flexion
Instability
Anatomical requirements for Syme amp
Patent PT artery
Stable heel pad
Metabolic demands of foot amps
Mid foot/TMA»_space;> Syme
Complication of Chopart amp and solution
EQUINUS contracture
Solution: Transfer TA to talar neck
Gold standard for assessing metabolic conditions for healing
Transcutaneous O2 >40 mm Hg
Priorities in treating a flail arm
Elbow flexion
Stable shoulder
Brachial-thoracic pinch
Amount of blood loss where hypotension occurs
1500-2000 cc
30-40% blood volume
Most sensitive indicator of adequate resuscitation
Lactate <2.5
How to calculate ISS
Sum of squares of 3 highest AIS scores