principles of limb ablation and supportive therapy Flashcards
what are the causes of limb amputation ?
critical limb ischaemia sepsis trauma neoplasm congenital
when can sepsis be seen with a patient ?
commonly seen with diabetic foot infections but could happen with systemic infections such as meningitis
what is considered during pre operative assessment ?
consideration of the level of amputation
what type of incisions are used to excise an affected toe?
fishmouth or circular incisions
what is a ray amputation ?
removal of the toe through the metatarsal bones
whats a transmetatarsal amputation
removal of all the toes
what is the most common technique for below the knee amputation ?
long posterior flap technique using rule of third
what is the preferred site of above knee amputation ?
mid femoral level at least 15 ccm above the tibial plateau
what are the early post-op complications ?
DVT flap necrosis wound infection stump hematoma post amputation pain
what are the late post op complications ?
bone erosion
neuroma formation
ulceration
osteomyelitis
when should a guillotine amputation be performed ?
in cases of severely infected tissue
