Pediatric Limb Deficiencies Flashcards
What is terminal overgrowth
Spiking
Body powered prosthesis UE
As young as one, once kid can do it
K4 amputation level
The patient has the ability or potential for prosthetic ambulation that exceeds basic ambulation skills, exhibiting high impact, stress, or energy levels. (Child, active adult, or athlete.)
What is more common, upper or lower, pediatric amputations
Upper 3x Lower
Disarticulation or transdiaphyseal for kids
Disarticulation
Is phantom pain common in kids
No
Why disarticulation
Because it preserves ability for limb to grow
Which amputations, upper or lower, are most associated with other anomolies
Upper – esp related to craniofacial, cardiac, and hematologic (due to the chronology of 1st trimester)
Most common pediatric amputation problem
The most common complication in a skeletally immature child is bony overgrowth, or spiking. Bony overgrowth can occur in 40% of children5 and is usually in children with amputations acquired before the age of twelve.
K0 amputation level
The patient does not have the ability or potential to ambulate or transfer safely with or without assistance, and a prosthesis does not enhance quality of life or mobility
Where does amputation overgrowth most commonly occur
Overgrowth most commonly occurs in the humerus, followed by fibula, tibia, and femur.
How many kids with limb deficiencies will have other anomalies
8/10
K2 amputation level
The patient has the ability or potential for ambulation with the ability to traverse low-level environmental barriers, such as curbs, stairs, or uneven surfaces. (Limited community ambulator.)
Active terminal device
1 year, when can walk
Timing of lower prosthetic
Solid ankle cushion heel (SACH), infancy