prosthetics & orthodics

Question 1

myodesis

Answer 1

suture muscle tendon to bone

Question 2

myoplasty

Answer 2

suture muscle tendon to other soft tissues

Question 3

Causes of amputations (5)

Answer 3

1. PAOD (PERIPHERAL arterial \_\_\_ disease)
      Do bypass, grafts, angioplasty
2. Infections
3. Trauma
4. Cancer
5. Congenital (thalidomide babies)

Question 4

toe amputations
what is removed?
orthodics (2)

Answer 4

MT head still intact but phalanges gone

orthodics:
1. give pt a filler in shoe, to stop other toes from drifting

2. can use rocker bottom shoes to help with push-off anytime pt loses big toe

Question 5

trans-MT amputations
level of amputations
general success

Answer 5

cuts across MT

traumatic amputees usually have much better success rates than vascular

Question 6

lisfranc amputation
what is removed
orthodics (2)

Answer 6

MT => distal gone (only have tarsals i.e. cuneiforms etc)

orthodics:
1. have special shoe with filler and rocker bottom shoe
2. cushioned heel
allows pt to PF w/o having control

Question 7

Chopart amputation

what is removed

Answer 7

talus and calcaneus kept, remove all distal foot

orthodics:

1. have rocker bottom
2. shoe filler
3. cushioned heel

Question 8

at what level are pts susceptible for PF contracture?

why?

Answer 8

pts from toe -> chopart are susceptible because they lost the insertions

Question 9

Symes amputation
level of amputation
vs Boyds
prosthetics

Answer 9

take off talus and calcaneus, take heel pad and wrap it around front

Boyds is no talus keep calcaneus

SACH= solid ankle cushioned heel

Question 10

SACH prosthetic (2)

Answer 10

solid ankle cushioned heel

bi-valve case b/c bulbous shape of residual limb is hard to get prosthetic on
has patella tendon shelf to help distribute WB forces