WK6- Amputation Surgeries Flashcards

1
Q

Define residual limb pain.

A

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

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2
Q

Describe phantom sensation.

A

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

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3
Q

Describe phantom pain

A

shooting pain, severe cramping, or burning

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4
Q

Describe, briefly the physiology of phantom pain.

A

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

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5
Q

What are some effective strategies for treatment of phantom pain

A

mirror box therapy, VR, mental imagery

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6
Q

Describe the ideal residual limb post op.

A

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

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7
Q

Give some examples of rigid post op residual limb dressings.

A

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

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8
Q

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

A

Semirigid: air splints, casts, protectors

soft: ace, shrinker ( liner )

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9
Q

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

A

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

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10
Q

What are some general key principles of amputation surgery ?

A

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

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11
Q

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

A

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

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12
Q

Compare and contrast myoplasty versus myodesis.

A

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

myodesis: muscle is attached to bone directly

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13
Q

Describe the following amputation: Lisfranc amputation

A

tarsometatarsal disartic.

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14
Q

Describe the following amputation: Chopart

A

midtarsal disartic.

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15
Q

Describe the following amputation: Syme’s

A

ankle disarticulation, talocrural joint

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