Pre-prosthetic management Flashcards
ideal length of remaining tibia
1/2
ideal length of remaining femur
3/4
____% of amputees will become bilateral
30-50%
main causes of amputation
- disease (PVD, diabetes, cancer) (74%)
- trauma (23%)
- congenital (3%)
which type of amputee is more likely to be functional prosthetic user?
bilateral BKA
energy expenditure
BKA
AKA
B BKA
B AKA
BKA: 15-30%
AKA: 40-65%
B BKA: 125%
B AKA: 240%+
common contractures for AKA
hip flex, abd, ER
common contractures for BKA
hip flex, ER, abd
knee flex
strength to emphasize
AKA
BKA
geriatric
AKA: hip ext
BKA: knee flex
geriatric: balance
K 0
no ability or potential to transfer or ambulate w/ or w/o assistance; prosthesis does not enhance QOL or mobility
K 1
ability & potential to use prosthesis for transfers or ambulation on level surfaces at fixed cadence
K 2
ability & potential for ambulation with ability to transverse low level environmental barriers, such as curbs, uneven surfaces, & stairs
K 3
ability & potential for ambulation with variable cadence
K 4
ability & potential for prosthetic ambulation that exceeds basic ambulation skills
when is pt typically fitted for prosthetic?
day 21 - week 6 post-op
what is indicated for a difficult to fit pt?
osteointegration
T/F: must be a failed prosthetic user to qualify for OI
T
when to wear shrinker?
anytime prosthetic is off
Where to measure residual limb for AKA vs BKA?
AKA: greater troch to end of limb & end of bone
BKA:medial joint line to tib tub to end of limb
Residual limb circumference should be w/i </= ___” of sound limb to be fitted for prosthetic
1/4”
What to avoid for amputees post-op?
Raising head of bed
Pillow under knee
Most important muscles to strengthen post-op amputee
Knee ext & flex
Hip abd & ext
What interventions for postural control should be done for TRANSTIBIAL?
Quadruped, tall kneeling, core strengtening
Which amputation level can WB on residual limb?
BKA ONLY
(AKA can only do it if they have PPAM on)
