Transtibial Amputation due to Arteriosclerosis Obliterans CAT

Question 1

What is arteriorsclerosis obliterans?

Answer 1

• AKA peripheral arterial disease
• Thickening, hardening, and evntual narrowing and occlusion of arteries

Question 2

What happens as a result of PAD?

Answer 2

• Ischemia and subsequent ulceration of the affected tissues
• Affected areas may become necrotic, gangrenous, and require amputation

Question 3

Risk factors for PAD

Answer 3

• Age
• Diabetes
• Sex (male > female)
• Hypertension
• High serum cholesterol and LDL
• Obesity
• Sedentary
• Impaired glucose tolerance
• Smoking

Question 4

Clinical presentation for pts needing amputation w/ PAD

Answer 4

• 45+ y/o
• Smokes
• Intermittent claudication that produces cramps and pain in the affected areas
• Lack of hair
• Lack of pulses

Question 5

Labs/imaging for PAD

Answer 5

• Doppler ulrasonography
• MRI
• Arteriography
• ABI

Question 6

PT management for amputation

Answer 6

• ROM
• Strengthening
• Desensitization
• Pt education for residual limb care