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Orthotics and Prosthetics > Amputation > Flashcards

Flashcards in Amputation Deck (23)
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1
Q

What is myodesis? When is it used? Which amputation?

A

muscle to bone
to provide optimal stability
transfemoral

2
Q

What is myoplasty? When is it used? Which amputation

A

muscle to muscle or soft tissue
in patients who are ischemic
transtibial

3
Q

What are the types of foot/ankle amputations?

A
Phalangeal removal
Ray amputation
Transmetatarsal amputation
Lisfranc (tarsomet disarticulation)
Chopart (disartic through midtarsal joint)
Symes (ankle disartic)
4
Q

What are the types of lower extremity amputations

A
BK (transtibial)
Thru-Knee disarticulation
AK (transfemoral)
Hip disarticulation
Hemipelvectomy
Hemicorporectomy
5
Q

What is the optimal tibia length in a BK?

A

5-7 inches (less than 3.5 inch is not feasible)

6
Q

What is a rotationoplasty also called? When is it used?

A

Van Ness procedure

in cases of osteosarcoma and congenital lower-limb differences

7
Q

What are the types of upper extremity amputation?

A
forequarter (with scapula)
AE
Elbow disartic
BE
Krukenberg (separation of radius and ulna)
Finger
8
Q

What is the timeline for an amputation?

A

0-2 wks pre-prosthetic training
0-4 wks post operative protector
4-6 wks sutures removed
6-10 wks incision healed, cast for prosthesis
6 wks-4mos temporary prosthesis and gait training
4 mos-8 mos therapy and adjustment
8 mos - 1.5 yrs receive permanent prosthesis

9
Q

What are the primary post-operative care goals (6)?

A
Reduce edema and promote healing
Prevent contractures
Increase UE and LE strength
Increase mobility and self-care
Promote sound limb care
Assist with limb loss adjustment
10
Q

What kinds of contractures should be avoided?

How can they be avoided?

A

hip and knee flexion

use stump board in wheelchair, lay prone, support in straight elevated position

11
Q

What are the 5 stages of loss?

A

Denial Anger Bargaining Depression Acceptance

12
Q

What is nonpainful sensation or awareness experienced that gives form to a body part with specific dimensions, weight, etc.

A

Phantom sensation

13
Q

What types of sensations do phantom sensations encompass?

A

Kinesthetic, kinetic, extroceptive

14
Q

What are kinesthetic sensations?

A

posture, length, volume

15
Q

What are kinetic sensations?

A

movements

16
Q

What are extroceptive sensations?

A

touch, temperature, pressure

17
Q

What is a painful sensation experience w/in the limb that is no longer part of the body?

A

phantom pain

18
Q

What is pain arising in the residual limb from a specific anatomical structure that can be identified?

A

residual limb pain

19
Q

What does functional level 0 entail?

A

no ability or potential for weight bearing or transfer

20
Q

What does functional level 1 entail?

A

ability or potential to transfer and ambulate in household with an AD

21
Q

What does functional level 2 entail?

A

community ambulator with ability or potential to traverse minor environmental barriers w/ a fixed cadence

22
Q

What does functional level 3 entail?

A

community ambulator w/ ability or potential to traverse all environmental barriers w/ a variable cadence

23
Q

What does functional level 4 entail?

A

ability or potential for prosthetic ambulation that exceeds basic skills, exhibiting high impact stress, or energy levels