S2L2: Amputation - Medical & Surgical Background Flashcards
PVD happens when there is not enough blood supply in the proximal limbs. Tissues become not viable, die, to prevent spread of infection
A. First statement is true, second statement is false
B. Second statement is true, first statement is false
C. Both statements are true
D. Both statements are false
B
PVD happens when there is not enough blood supply in the distal limbs.
Identify: The highest amputation for LE
hemicorporectomy
Identify: Amputation when part of the pelvis down is removed
Hemipelvectomy
Identify: Hip joint level amputation
Hip disarticulation
Identify: level of the femur amputation
AKA
Identify: 3-4 inches left for AKA
Short
Identify: 10-12 inches left for AKA
Middle
Identify: Supracondylar amputation, lower thigh
Long
Identify: complete knee amputation
Knee disarticulation
Identify: BKA less than 2 in
Very Short
Identify: 2-4 in left in BKA
Short
Identify: 5-8 in left in BKA
Medium
Identify: 8+ inches below the knee
Long BK
Identify: Amputation that is just above the ankle, but in other references, it’s like ankle disarticulation (they leave the calcaneus or heel)
Syme Amputation
Identify: Heel pad remains so you can bear weight
Syme Amputation
Identify: Equivalent to ankle disarticulation in physiopedia but means that the calcaneus is removed
Syme Amputation
Identify: Talonavicular amputation
Chopart
Identify the 2 kinds of amputation that involves the removal of the metatarsals
Lisfranc & Transmetatarsal
Identify: They remove the toes
Toe amputation
T or F: The longer the residual limb is, the more functional for the patient
True
Identify: UE Amputation from the scapula down
Forequarter Amputation
Identify: Amputation at the shoulder joint
Shoulder disarticulation
Identify: Amputation at the humerus
Above elbow Amputation
Above elbow Amputation Standard: _%
90
Identify: Some part of the radius and ulna may or may not be removed
Wrist disarticulation
Identify: Amputation at level of carpal bones
Carpal disarticulation
Identify: Amputation at the level of metacarpals
Transmetacarpal
T or F: The procedure of amputation can be determined by the PT
False (Determined by surgeon)
Consideration for length of residual limb is what should be _
removed
Identify: If there is enough blood supply in the area to be viable enough to support the limb and musculature left behind
Vascularization
Identify the 3 things to consider in the procedure for amputation
- Length of residual limb
- Vascularization
- Prosthetic fitting
Identify: Removed everything at the level of amputation (skin bones)
Open
Identify: Cuts off the bone but there’s a remaining skin flap left behind to cover the parts that were left
Closed
Enumerate the 4 types of skin flaps
- Sagittal
- Posterior
- Skewed
- Fishmouth
Identify: Suture on the frontal plane
Fishmouth
Identify: Diagonal, Anterior and posterior flap sutured
Skewed
Identify: There is skin left on the posterior side and it is pulled to cover the remaining parts.
Posterior
If distal part is amputated, it will be free. It may protract then the muscle will not be usable anymore
A. First statement is true, second statement is false
B. Second statement is true, first statement is false
C. Both statements are true
D. Both statements are false
A
it may retract
Identify: muscle to muscle
Myoplasty
Identify: muscle to fascia
Myofascial
Identify: muscle to bone (residual part of limb)
Myodesis
Identify: tendon is attached to the bone if may residual part pa ng same muscle
Tenodesis
Once healed, you can see the preserved movement/function of the muscles. When considering the healing of amputations it is not just the healing of the soft tissues but also will have the bone
A. First statement is true, second statement is false
B. Second statement is true, first statement is false
C. Both statements are true
D. Both statements are false
C
Resistance exercises will not be hard and painful for the patient when the bone is healed. Muscle may still produce their movement but can do different function/action compared to the previous one.
A. First statement is true, second statement is false
B. Second statement is true, first statement is false
C. Both statements are true
D. Both statements are false
B
Resistance exercises will be hard and painful
If attached in a different angle = expect a different angle of pull, hence different movement. Since the muscles have different orientations and if it is attached to a muscle with an orientation different from its own then it will pull in a different way
A. First statement is true, second statement is false
B. Second statement is true, first statement is false
C. Both statements are true
D. Both statements are false
C
Surgeons determine the shape of the stump. We educate the family to maintain the shape of the stump
A. First statement is true, second statement is false
B. Second statement is true, first statement is false
C. Both statements are true
D. Both statements are false
B
PTs determine the shape of the stump
Important for the prosthesis to have a proper fit with the stump to avoid poor fit and irritation. Dog ears may get compressed
A. First statement is true, second statement is false
B. Second statement is true, first statement is false
C. Both statements are true
D. Both statements are false
C
In a new amputee, they can heal in the same position so it can maintain the shape. Use compression stockings and bandages to shape the stump
A. First statement is true, second statement is false
B. Second statement is true, first statement is false
C. Both statements are true
D. Both statements are false
B
they can heal in a different position so it can change the shape
Identify the 2 interventions that can be used to shape the stump
compression stockings and bandages
Identify the shape of stump: Usually seen in above knee amputees and is thigh level
Conical
Identify the shape of stump: Length of proximal and distal part are equal and is usually seen in BKA
Cylindrical
Identify the shape of stump: Distal segment of residual limb is wider than proximal segment
Bulbous
Identify: Below elbow amputation; ulna and radius are separated
Krukenberg amputation
A below elbow amputation is known as a Krukenberg amputation. This is when the ulna and humerus are separated
A. First statement is true, second statement is false
B. Second statement is true, first statement is false
C. Both statements are true
D. Both statements are false
A
ulna and radius are separated
Identify the type of reduction: Whole limb is not present
Amelia
Identify the type of reduction: Middle segment is absent
Phocomelia
Identify the type of reduction: There is development but only to a certain level.
Meromelia
Identify the type of reduction: Segment distal to one point is absent
Meromelia
Identify the type of reduction:
Developed but not the whole limb
Meromelia
Identify the type of reduction: No phalanges/ fingers
Aphalangia
Identify the type of reduction: One part or segment of the bone did not develop (half developed)
Hemimelia
Identify the type of reduction: Absence of metacarpal or metatarsal
Adactyly
Identify the type of reduction: Congenital total absence of the hand and wrist with no bony elements distal to the radius, hands gone
Acheira