Peds limb deficiencies Flashcards
Most common cause of acquired limb deficiency
Trauma
Principles of pediatric limb surgery
- Amputation through joint is recommended to prevent terminal overgrowth in the skeletally inmate patient.
- If through joint is not possible, stump capping (with osteochondral autograft) is recommended.
- Preserving joint is imperative. A very short tibia can be lengthened later.
- It I not recommended to remove residual digits or nubbins in upper ext deficiency, since this can promote neuroma, and nubbins have functional purposes.
Krukenberg procedure
Used in individuals with long transradial (>8cm) and intact pronator teres. In bilateral amputees.
Benefits- allows for grasp and provides sensory input in those visually impaired.
LLD of less than ___%, benefits from lengthening
30%
Children with below the knee amp are often fit with ______ sockets
Patellar-Tendon-Bearing.
PTB with a supracondylar cuff puts them at risk of patella dislocation.
Most common congenital lim deficiency
Left terminal transradial deficiency
By the age of ____, the child can operate all types of prosthetic devices and components
4-5 years
Body powered hooks are used successfully at
2-3 years
Body powered elbow are used successfully at
4-5 years
Vilkke procedure
Attaches a toe to the residual limb to create a pincer grip
The most common congenital long bone lower deficiency
Fibular longitudinal deficiency (fibular hemimelia)
70-80% of patients with PFFD also present with associated _____
fibular deficiencies
Lower limb prosthesis fitting
When ready to pull to stay around 9-10 months
A knee joint is usually added at
18 months
Prosthesis replacement
annually until age 5
every 2 years until age 12
every 3-4 years until adulthod
