TFA Chart Flashcards

1
Q

Knee is too far anterior to TKA line
Increased dorsiflexion
Stiff heel cushion (too hard or too high)
Foot does not have adequate heel rocker
Heel lever too long
Insufficient socket flexion
Suspension too loose or ant/post diameter too small

A

knee instability

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2
Q

Shoe changed (heel too high)
Hip flexion contracture
Weak hip extensors

A

knee instability

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3
Q

Anterior or medial brim pressure
Heel too hard or too high
Too much built in toe out
Socket too loose
Too much pressure over tensor

A

foot rotation

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4
Q

Patient extends limb too forcefully at initial impact
Changed shoe to stiffer heel
Poor residual limb muscle control
Poor pelvic control

A

foot rotation

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5
Q

Too soft heel cushion or bumper
Foot simulation of heel rocker too soft

A

Foot Slap &
Forceful Impact of heel with floor

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6
Q

Patient drives prosthesis into ground too forcefully
Lack of confidence
Inadequate training

A

Foot Slap &
Forceful Impact of heel with floor

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7
Q

Excessive dorsiflexion
Excessive socket flexion

A

Ball of foot is >1.5” from floor

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8
Q

prosthetic stride too long

A

Ball of foot is >1.5” from floor

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9
Q

Prosthesis too long
Foot outset
Medial leaning pylon
Limb not seated into socket
Medial wall too high
Improper relief of femur at distal femur
Pelvic band not proper shape or too far from body

A

abducted gait

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10
Q

Poor midline perception
Sound limb adducted
Too many ply socks or Limb is edematous
Abduction contracture
Insecurity or habit
Poor midline perception
Sound limb adducted
Too many ply socks or Limb is edematous
Abduction contracture
Insecurity or habit
Poor balance
Weak hip extensors or weak hip adductors
Hip flexor contracture

A

abducted gait

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11
Q

Prosthesis too short
Outset foot
Medial-lateral socket diameter too large
Lateral leaning pylon / abducted socket
Too high medial wall / ramus pressure
Improper lateral wall contouring causing pressure

A

Lateral leaning of trunk towards prosthesis or
Trendelenburg / Duchenne

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12
Q

Weak hip abductors/gluteus medius
Fear or habit
Pain / Inability to bear weight
Abducts foot & shifts weight with upper body
Very short residual limb
Hip abduction contracture

A

Lateral leaning of trunk towards prosthesis or
Trendelenburg / Duchenne

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13
Q

Inadequate socket adduction
Lateral leaning pylon / socket abducted
Inadequate support to lateral side esp. distally
Outset foot

A

excessive drop of pelvis on sound side

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14
Q

weak hip abductors

A

excessive drop of pelvis on sound side

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15
Q

Inset foot
Medial leaning pylon / socket adducted
Excessive medial-lateral socket diameter

A

lateral gapping of socket

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16
Q

adducted gait
short residual limb

A

lateral gapping of socket

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17
Q

Abducted socket / lateral leaning pylon
Inverted foot

A

Walking on lateral border of foot*

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18
Q

adducted gait on prosthetic side

A

walking on lateral border of foot

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19
Q

Adducted socket / medial leaning pylon
Everted foot

A

walking on medial border of foot

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20
Q

abducted gait

A

walking on medial border of foot

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21
Q

Pain from socket
Knee bolt is higher or lower than anatomical knee

A

decreased stance duration

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22
Q

Inadequate weight bearing
Poor balance
Bad habit

A

decreased stance duration

23
Q

Posterior leaning pylon (insufficient socket flexion)
Prosthesis too long
Toe lever too long / Forefoot too stiff
Foot too plantar flexed

A

pelvic rise

24
Q

Bad habit /does not trust flexing knee
Intentional as patient fears knee flexion
Poor pelvic control
Changed heel height to too low

A

pelvic rise

25
Q

Anterior leaning pylon (Too much socket flexion)
Toe lever too short / forefoot too soft
Foot too dorsiflexed
Knee too anterior on TKA line

A

drop off

26
Q

Hip &/or knee flexion contracture
Heel height too high
Hip &/or knee extensor weakness
Sound side stride length too long

A

drop off

27
Q

loose suspension

A

early piston action

28
Q

Improper donning
Too few ply socks / decreased volume of limb

A

early piston action

29
Q

foot too plantar flexed

A

early heel rise

30
Q

knee and/or hip flexion contracture

A

early heel rise

31
Q

Knee too posterior on TKA line
Posterior leaning pylon
Knee friction too strong

A

inadequate knee flexion

32
Q

Fear
Decreased hip ROM

A

inadequate knee flexion

33
Q

Knee friction too soft / low
Insufficient socket flexion
Foot set in too much plantar flexion

A

early heel rise with excessive knee flexion

34
Q

Hip flexion contracture
Sound side stride length too long
Excessive hip flexion to initiate swing

A

early heel rise with excessive knee flexion

35
Q

Foot set in dorsiflexion
Forefoot too soft
Knee is too posterior to TKA line
Hydraulic knee too viscous or friction too strong
Toe lever too long

A

late heel rise
delay in initation of swing phase

36
Q

Sound side stride length too short
No pelvic rotation to initiate swing

A

late heel rise
delay in initiation of swing phase

37
Q

insufficient knee friction

A

excessive heel rise

38
Q

too strong hip flexioncontracture

A

excessive heel rise

39
Q

excessive knee friction

A

insufficient heel rise

40
Q

insecurity/fear
habit

A

insufficient heel rise

41
Q

inadequate suspension
socket too large

A

excessive piston action

42
Q

too few ply socks
Improper donning / suspension too loose
Non-muscular (flabby) limb
Poor muscle control

A

excessive piston action

43
Q

insufficient knee friction

A

terminal impact

44
Q

Too vigorous hip flexion followed by strong hip extension
Patient uses as cue to know knee is extended

A

terminal impact

45
Q

Prosthesis too long
Inadequate suspension / pistoning
Inadequate socket flexion / posterior leaning pylon
Foot is too plantarflexed
Too much friction leading to inadequate knee flexion
Toe lever too long so does not flex knee
Medial wall pressure / pain

A

Vaulting
Circumduction
Toe drag or stubbing
Hip Hiking

46
Q

Improper donning
Limb not seated in socket / too many ply socks
Weak hip flexion
Inadequate knee &/or hip flexion
Bad habit
Walking faster than friction of knee unit
No pelvic rotation to initiate swing
Gluteus medius weakness on non-amputated side
Fear of stubbing toe or ability to control knee

A

Vaulting
Circumduction
Toe drag or stubbing
Hip Hiking

47
Q

Medial: Knee bolt too externally rotated
Varus knee alignment
Lateral: Knee bolt internally rotated
Valgus knee alignment
Inadequate suspension
Socket too tight / not seated in socket

A

lateral or medial whip

48
Q

Improperly donned socket
Inadequate ply socks
Bad habit
Selesian belt too tight
Poor muscle control
Flabby, non-muscular limb

A

lateral or medial whip

49
Q

Prosthesis too short
Anterior leaning pylon

A

prosthetic stride length is too short

50
Q

Heel height too high
Hip flexion contracture on contralateral side
Pelvic retraction

A

prosthetic stride length is too short

51
Q

Prosthesis too long
Posterior leaning pylon

A

prosthetic stride length is too long

52
Q

Heel height too low
Knee flexion contracture on contralateral side
Hip flexion contracture on amputated side
Stance phase too short duration
Prosthesis too long (could be too many ply socks)

A

prosthetic stride length is too long

53
Q

improper socket design causing pain

A

uneven arm swing

54
Q

Bad habit / fear
Insecurity in Weight bearing
Uneven timing
Unequal stride length
Poor balance

A

uneven arm swing