Prosthetics Flashcards

1
Q

Top 2 causes of LE

A

PVD

Trauma

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2
Q

Most common amputation site

A

TT > TF > TR

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3
Q

K levels

A
K0 - nonambulatory
K1 - limited/household 
K2 - limited community
K3 - community/variable cadence
K4 - children/bilateral/active adults/athletes
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4
Q

How often should prosthetic socks/liners be replaced?

A

6 months

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5
Q

SACH foot

A

kids/durable
several activity levels/weights
can cause knee buckling

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6
Q

Single axis foot

A
accommodates uneven terrain
indicated w/ knee instability
anterior bumper stiffens DF
posterior bumper slows foot drop
CONTRAINDICATED if knee is stable
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7
Q

Dynamic response/energy storing foot

A

long keel lever

high level patients

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8
Q

Flexible keel

A

stops knee buckling of SACH foot
may be multi-axial
Training leg

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9
Q

Rotators

A

additional component that allows leg crossing/donning shoes (TF & proximal)

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10
Q

Torsion adapters

A

good for compliant surfaces

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11
Q

What phase of gait cycle do suspension systems help with?

A

swing phase

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12
Q

Supracondylar suspension

A

gives M-L stability

Indicated for shorter limbs/ligament laxity

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13
Q

When is manual locking knee contraindicated?

A

when anything else works

indicated with bilateral amputees (one leg)

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14
Q

Polycentric knee

A

COR relocates throughout ROM
leg can shorten for swing
knee disartic/short TF

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15
Q

weight activated stance control knee

A

if knee flexed < 10-15 deg brake engages & buckles knee if knee flexes > 15 deg

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16
Q

C-leg

A

in stance hydraulic fluid resistance

in stance its single axis

17
Q

When are anatomic fit suspension systems used?

A

congenital amputee

18
Q

How many socks should be limit before socket replacement?

A

> 12 ply

19
Q

Amputee mobility predictor (AMP)

A

outcome measure that predicts amputee’s ability to ambulate

0-42 points

20
Q

in amputee, when will they need more sock ply, morning or afternoon?

A

afternoon

21
Q

Do you cover patella in ace wrapping amputee?

A

do not cover if active/complains of pain when covered

cover if edema in area of patella & short limbs

22
Q

Key muscles to test for TT and TF/KD

A

TT - quadriceps

TF/KD - hip extensors/abductors

23
Q

Typical contracture with TF/KD

A

FABER position

24
Q

LisFranc amputation

A

tarsal-metatarsal joint

25
Q

Syme’s amputation

A

rearfoot with trimming malleoli to create flat surface for weightbearing

26
Q

Specific weight bearing interface

A

use soft tissue areas to achieve weight bearing & creates reliefs over bony prominences (opposing forces hold limb on)

27
Q

Which pts are good candidates for specific weightbearing prostheses?

A
bony limbs
past users
preparatory prosthesis
medium to short residual limbs
pt who require knee stability
28
Q

Total surface bearing prosthesis

A

circumferential pressure provides bearing characteristics

  • -equal pressure distribution around pressure area
  • -flow from area of most pressure to least

NOT good for hygiene

29
Q

Which pts are good candidates for total surface bearing prostheses?

A

all lengths/all tissue consistencies
pts w/ abnormalities, scar tissues, adherent tissue, chronic breakdown
those who want distal attachment suspension systems

30
Q

Hydrostatic prostesis

A

fluid becomes the soft area drawn distally to provide padding

31
Q

Who should get hydrostatic prostheses?

A

pts who want distal attachment suspension systems

short, fleshy or medium residual limbs

active patients

32
Q

Quadrilateral socket design

A

Not stable coronally
I.T. sits on ledge
squeezes medial to lateral to prevent lateral shift during gait

33
Q

Ischial ramus containment socket design

A

I.T. inside socket
Stability coronally
squeezes anterior to posterior to keep I.T. on shelf
less pelvic shift with gait

34
Q

Which muscles are lost from knee disarticulation to transfemoral if cut proximal to adductor tubercle?

A
adductor magnus
semimembranosus
sartorius
gracilis
semitendinosus