WK6- Amputation Surgeries

Question 1

Define residual limb pain.

Answer 1

pain in residual limb-stabbing, throbbing, pins and needles, hypersensitivity around and on incision area

managed my gentle massage/tapping
desensitization
TENS, modalities
positioning
assess post op dressing compression

Question 2

Describe phantom sensation.

Answer 2

happens in 80% of post amp patients, tingling, numbness, itching, pressure

Question 3

Describe phantom pain

Answer 3

shooting pain, severe cramping, or burning

Question 4

Describe, briefly the physiology of phantom pain.

Answer 4

Due to cortical region reorganization, somatotropic representations border that of the missing limb

Question 5

What are some effective strategies for treatment of phantom pain

Answer 5

mirror box therapy, VR, mental imagery

Question 6

Describe the ideal residual limb post op.

Answer 6

cylindrical shape, length, muscle power, full range joint, well healed, mobile scar tissue, infection free, muscles covering bones, neuroma free

Question 7

Give some examples of rigid post op residual limb dressings.

Answer 7

Immediate postoperative prosthesis (IPOP), rigid removable dressing (RRD)

Question 8

Give examples of semirigid and soft post op residual limb dressings.

Answer 8

Semirigid: air splints, casts, protectors

soft: ace, shrinker ( liner )

Question 9

When wrapping with an ace wrap what are some key considerations.

Answer 9

try to create cylindrical shape, create more compression distally as compared to proximally, avoid “choking” effect, have patient demonstrate back to you

Question 10

What are some general key principles of amputation surgery ?

Answer 10

save as much length as possible, adequate circulation, preserve as many joints as possible, provide residual limb that can tolerate prosthetic stresses

Question 11

What are the different levels of amputations from least amount of length to most ?

Answer 11

Transpelvic, Hip disarticulation, Transfemoral, Knee Disarticulation, transtibial, ankle disarticulation ( Syme’s), Transmetatarsal ( Chopart ), Lisfranc, Metatarsal, toe disarticulation or amputation

Question 12

Compare and contrast myoplasty versus myodesis.

Answer 12

myoplasty: muscle is attached to muscle often antagonist in TF patients

myodesis: muscle is attached to bone directly

Question 13

Describe the following amputation: Lisfranc amputation

Answer 13

tarsometatarsal disartic.

Question 14

Describe the following amputation: Chopart

Answer 14

midtarsal disartic.

Question 15

Describe the following amputation: Syme’s

Answer 15

ankle disarticulation, talocrural joint