Prosthetics 2 Flashcards
Types of post-operative dressings
- rigid (plaster of Paris)
- NWB removable limb protectors
- semi-rigid (Unna paste, air splint)
- soft (ace wrap, shrinkers)
Rigid post-operative dressings: advantages
- allows early ambulation with pylon
- promotes circulation and healing
- stimulates proprioception
- provides protection
- soft tissue support
- limits edema
- able to use an IPOP
Rigid post-operative dressings: disadvantages
- immediate wound inspection not possible
- doesn’t allow for daily dressing changes
- requires professional application
NWB rigid removable limb protectors: advantages
- removable
- accommodates edema fluctuation
- easily applied
- prevents contracture
- provides protection
NWB rigid removable limb protectors: disadvantages
Not for ambulatory purposes
Semi-rigid dressings: advantages
- reduces post-op edema
- soft tissue support
- allows for earlier ambulation
- protects
- easily changeable
Semi-rigid dressings: disadvantages
- doesn’t protect as well as rigid dressing
- requires more changing than rigid dressing
- may loosen and allow development of edema
Soft dressings: advantages
- reduces post-op edema
- provides some protection
- inexpensive
- easily removed for wound inspection
- allows active joint ROM
Soft dressings: disadvantages
- tissue healing interrupted by frequent dressing changes
- joint ROM may delay healing of incision
- less control of residual limb pain
- can’t control amount of tension in bandage
- risk of tourniquet effect
- shrinker can’t be applied until sutures/staples are removed
MFCL =
Medicare functional classification level = K level
Which K level gets this?
no knee unit
K0
Which K level gets this?
Polycentric knee
Constant friction mechanism
K2
Which K level gets this?
hydraulic/pneumatic knee unit
Microprocessor
Variable friction mechanism
K3
Which K level gets this?
Single axis knee
Constant friction mechanism
K1
Which K level gets this?
Any knee system
K4
Which K level gets this?
Any foot system
K4
Which K level gets this?
SACH foot
Single axis
K1
Which K level gets this?
Not eligible for prosthesis
K0
Which K level gets this?
Energy storing
Dynamic response foot
Multi-axial foot/ankle
K3
Which K level gets this?
Flexible-keel foot
Multi-axial foot/ankle
K2
Which K level does this describe?
Exceeds basic ambulation skills
Exhibits high impact, stress, or energy levels
Typical of a child, athlete, or active adult
K4
Which K level does this describe?
Prosthesis will not enhance quality of life
K0
Which K level does this describe?
Transfers
Ambulation on level surfaces
Fixed cadence
Limited or unlimited household ambulator
K1
Which K level does this describe?
Variable cadence ambulator
Unlimited community ambulator
Traverse most environmental barriers
Prosthetic use beyond simple locomotion
K3
Which K level does this describe?
Traverse low level barriers (curbs, stairs, uneven surfaces)
Limited community ambulator
K2
