Prosthetics Flashcards
what is the most common cause for amputation?
peripheral vascular disease PVD
surgeon determines the height of amputation based on ________ of the extremity
palpable pulses
chopart’s amputation
midtarsal
Syme’s amputation
ankle disarticulation
O’Sullivan goals for healing process (6)
- edema
- contractures
- strength
- adjust to loss
- HEP
- proper care of remaining limb
sensation of the limb that is no longer there. Tingling, burning, itching, usually not painful
phantom limb sensation
cramping, squeezing, shooting, burning pain of limb that is no longer there
phantom limb pain
manage swelling by using this wrapping technique
figure 8
soft dressings (2)
- shrinker
2. . elastic wrap
improves edema control but loosens easily
semirigid dressing (UNNA boot)
Rigid dressings (2)
- IPOP
2. RRD
non-adjustable, non-removable temporary prosthesis that helps limit edema and allows early ambulation
IPOP
adjustable and removable for wound inspection, temporary
RRD
Stretch abductors for _______ and adductors for ______
transfemoral
transtibial
most common contractures for AKA
hip flex and ABD
most common contractures for BKA
hip flex and ADD, knee flex
tips to avoid LE contracture (3)
- avoid prolonged sitting
- avoid elevating limb
- prone each day
science of dealing w/ functional and/or cosmetic restoration for all or part of a missing limb
prosthetics
science of dealing w/ orthoses designed to provide external control, correction and support
orthotics
contains the residual limb. Stump sock, gel liner to reduce friction
socket
goal is to eliminate pistoning. Achieved w/ suction valve, locking liner/shuttle lock, belts/straps/sleeves
suspension
connects foot to socket. Can be either exoskeletal or endoskeletal
pylon/shank
Dynamic Response: stores energy w/ loading, releases energy at terminal stance.
foot
allows some PF/DF
single axis foot
allows some PF/DF/Inv/Ev
multi axis foot
knee mechanism types from least control to most control (6)
- single axis
- friction brake
- polycentric
- manual lock
- hydraulic
- c-leg (microprocessor)
pt does not have ability/potential to ambulate or xfer safely. Prosthesis does not enhance quality of life
K0
pt has ability to xfer or amb on even surfaces for 100-200 ft
K1
pt has ability/potential for amb and traverse low-level environmental barriers (curbs, stairs) community ambulator
K2
pt has ability/potential for amb w/ variable cadence. Community ambulator. Traverse most environmental barriers. Still working or exercising beyond simple locomotion
K3
pt amb needs exceed basic amb skills. High level athlete or child
K4
orthosis that can be moved from shoe to shoe. Corrects foot alignment, improves function, relieves pain.
foot orthotic insert
orthosis that captures foot and ankle by extending up to calf. Solid, articulating, and posterior leaf spring
AFO
TF knee orthosis can be rigid or soft
True
Orthosis that captures knee and ankle by extending up to thigh. Allows for flexion but also provides stability in extension
KAF orthosis
spinal orthosis that provides abdonminal compression and support
corset
spinal orthosis for spine alignment d/t scoliosis
Milwaukee
orthosis for cervical stabilization
Halo
redness of skin from orthosis should go away w/in _____ after removal
15-20 min
TF it is ok to add padding to orthosis to relieve pressure
False
