Prosthetics Flashcards
1
Q
A device that replaces the function of a
missing part.
A
prosthesis
2
Q
through the metatarsal
bones ang amputation
A
transmetatarsal
3
Q
amputation is between
the tarso and metatarsal
A
tarsometatarsal
4
Q
Prosthetic prescription for tarsometatarsal and transmetatarsal:
A
shoe filler; rocker bar
5
Q
lisfranc
A
tarsometatarsal
6
Q
● Midtarsal amputation
● Preserves the calcaneus and talus
A
CHEOPART
7
Q
term for surgical removal of talus
A
talectomy
8
Q
Talectomy + There is a horizontal section through the
calcaneus
A
boyd
9
Q
Vertical section through calcaneus
A
pirogoff
10
Q
If your patient had a partial foot amputee, what is
the required heel of the patient shoe?
A
low heel
11
Q
Ankle disarticulation
A
symes
12
Q
Below knee amputation
A
TRANSTIBIAL
13
Q
3 Lengths of BKA
A
a. Short
b. Standard
c. Long
14
Q
3 Lengths of BKA
a. Short=
b. Standard=
c. Long=
A
a. Short= <20%
b. Standard= 20-50%
c. Long= >50%
15
Q
IDEAL STUMP SHAPE TRANSTIBIAL/BKA:
A
Cylindrical
16
Q
BKA contracture:
A
Knee flexion contracture
17
Q
3 types of KNEE DISARTICULATION
A
tenoplastic osteplastic true disarticulation
18
Q
Simplest and least traumatic
Removal Tibia, Fibula and Patella only
Removal only, no transection or cutting
ng distal end of femur.
Preserves: Distal femoral condyles and
epiphysis
A
true disarticulation
19
Q
Gritti-stokes
A
osteplastic
20
Q
Kirk, Callender
A
tenoplastic
21
Q
Section femur is
covered with quads tendon
A
tenoplastic
22
Q
Arthrodesis of patella to sectioned
femur
A
osteplastic
23
Q
Above Knee Amputation
A
transfemoral
24
Q
standard transfemoral length
A
35-60/33-66
25
AKA IDEAL STUMP SHAPE:
Conical
26
AKA Contractures
Hip Flexion and Abd. Contractures
27
SINGLE BELOW KNEE/ABOVE KNEE
AMPUTATION
Which prosthesis length has greater trim-down?
Above Knee Prosthesis
28
Above Knee Prosthesis
○ Should be made ____ shorter than the
below knee prosthesis for foot
clearance
¼ - ½
29
BILATERAL BELOW KNEE AMPUTATION
Prosthetic Prescription:
Both below knee prosthesis should be made
__________ shorter than the pre-amputation legs
for _________
1 inch shorter; better balance
30
BILATERAL ABOVE KNEE AMPUTATION
Primary means of ambulation:
Wheelchair with ( posterior / anterior ) displaced wheels
(Wheels:_______ inches posteriorly/backward)
posterior; 2-2.5
31
BILATERAL ABOVE KNEE AMPUTATION
Prosthetic Prescription: (If individual has Bilateral
AKA but is young and active)
stubby prosthesis
32
stubby prosthesis has:
___________ socket w/ (anterior / posterior)
protruding rocker bars
quadrilateral; posterior
33
stubby prosthesis reduces the height of the px by _______
inches
12
34
Canadian hip disarticulation prosthesis is used for
VERY SHORT ABOVE KNEE AMPUTATION
HIP DISARTICULATION
HEMIPELVECTOMY
35
Removal of the of pelvis, sacrum/cocyx,
below L4-L5 level
hemicorporectomy
36
hemicorporectomy porste presc:
Sitting bucket articulated to canadian hip
disarticulation prosthesis
37
Upper ex prosthesis components:
1. terminal devices
2. interposing devices
3. sockets
4. suspensions/harness
5. control cable
38
● MC used terminal device
● Most functional terminal device
VOLUNTARY OPENING
39
Most physiologic terminal device
VOLUNTARY CLOSING
40
terminal device
● Non-functional
● Made up of rigid or semi-rigid
materials
cosmetic hand
41
terminal device
Muscle rectified hand fxns with the
use of electrodes
MYO-ELECTRIC HAND
42
MOTOR-DRIVEN HAND
uses motor
43
2 types of wrist interposing joints
fixed, quick change
a. Fixed- uses 1 terminal device only
b. Quick change- uses many terminal
devices. Pwedeng papalit- palit
44
types of elbow interposing joints
mech, electrical
45
Mechanical elbow pre-positioned from
_______° of elbow flexion (by the
patient)
5-135
46
Elbow IPJ
has more control and
versatility; kasi may kasama minsan
na forearm pronation-supination
electrical
47
Elbow IPJ
Pre-positioned by the patient
according to functional needs.
shoulder
48
III. SOCKET
1.
● MC used
a. _________ - directly encapsulates the
stump
b. _________l - pre-designed as the real
arm or forearm of the patient
III. SOCKET
1. STANDARD (TWO-WALLED SOCKET)
● MC used
a. Inner wall- directly encapsulates the
stump
b. Outer wall - pre-designed as the real
arm or forearm of the patient
49
SOCKET
Indicated for infants
THREE WALLED SOCKET
50
3 PARTS OF THREE WALLED SOCKET
INNER, MIDDLE, OUTER
51
SOCKET FOR elbow disarticulation
SINGLE WALLED SOCKET
52
SOCKET For very short BEA and to gain power
MUNSTER
53
SOCKET for very short below elbow
amputation (BEA) and for pt. with limitation
of elbow flexion
SPLIT SOCKET WITH STEP UP HINGE
54
For every 1° of elbow flexion= 2° socket
flexion (multiply elbow flexion by 2)
SPLIT SOCKET WITH TEP UP HINGE
55
TYPES OF HARNESS
FIGURE OF 8
O RING
FIG OF 9
MODIFIED SHOULDER SADDLE
CHEST STRAP
56
MC USED HARNESS
FIG OF 8
57
HARNESS For pt. with shoulder disarticulation
and/or forequarter amputation
CHEST STRAP
58
HARNESS For heavy lifting
MODIFIED SHOULDER SADDLE
HARNESS
59
tinanggal na yung humerus
tinapyasan pa yung ribs
FOREQUARTER AMPUTATION
60
tinanggal yung pag
kaka-attach ng humeral head
from the glenoid fossa
SHOULDER DISARTICULATION
61
amputation above the lesser trochanter
Very short above knee amputation
62
Removal of femoral head from the
acetabulum
Hip disarticulation
63
Resection of the lowe half of pelvis
hemipelvectomy
64
CONTROL CABLE/SYSTEM
● MC used
● Uses a single control system
BOWDEN
65
CONTROL CABLE/SYSTEM
Uses a double-control system
FAIR LED
66
CONTROL CABLE/SYSTEM
Muscle-rectified control system
MYO ELECTRIC
67
SPEED OF AMBULATION
Normal/ minimum speed MPH
w/ BKA MPH
w/ AKA MPH
Normal/ minimum speed 3 mph
w/ BKA 2-2.5 mph
w/ AKA 1.5 mph
68
ENERGY EXPENDITURES
Wheelchair _________ _____
_______ walking _____
_______ BK ______
___________ BK is ________
__________ AKA is ______
Double AKA ___________
Single BK/ Single AK _________
ENERGY EXPENDITURES
Wheelchair ambulation 9%
Crutch walking 60%
Single BK 10-40%
Double BK (& uses bilateral BKP) 41%
Single AKA 65%
Double AKA (& uses bilateral AKP) 110%
Single BK/ Single AK 75%
69
PROSTHETIC FITTING IN CHILDREN
Above/Below ________ ________ months
Below/Above ___________ _______ months
_____________ 2 years old
Elbow unit _____________
______________ ______________
_______________ 3-4 years old
PROSTHETIC FITTING IN CHILDREN
Above/Below Elbow 3-6 months
Below/Above Knee joint 8-10 months
Active Terminal Device 2 years old
Elbow unit 2-3 years old
Functional hand 3 years old
Actively controlled knee joints 3-4 years old
70
Single BK
10-40
71
single AKA
65
72
Double AKA
110
73
Wheelchair ambulation
9
74
Double BK
41
75
Single BK/ Single AK
75
76
Crutch walking
60
77
PROSTHETIC FITTING IN CHILDREN
Below/Above Knee joint
8-10 mos
78
PROSTHETIC FITTING IN CHILDREN
Elbow unit
2-3 years old
79
PROSTHETIC FITTING IN CHILDREN
Actively controlled knee joints
3-4 y/o
80
PROSTHETIC FITTING IN CHILDREN
Functional hand
3 y/o
81
PROSTHETIC FITTING IN CHILDREN
Above/Below Elbow
3-6 mos
82
PROSTHETIC FITTING IN CHILDRENActive Terminal Device
2 y/o
83
SPEED OF AMBULATION
Normal/ minimum speed
3 mph
84
SPEED OF AMBULATION
w/ BKA
2-2.5
85
SPEED OF AMBULATION
w/ AKA
1.5 mph
