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Flashcards in Amputation Deck (23)
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1

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

muscle to bone
to provide optimal stability
transfemoral

2

What is myoplasty? When is it used? Which amputation

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

3

What are the types of foot/ankle amputations?

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

4

What are the types of lower extremity amputations

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

5

What is the optimal tibia length in a BK?

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

6

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

Van Ness procedure
in cases of osteosarcoma and congenital lower-limb differences

7

What are the types of upper extremity amputation?

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

8

What is the timeline for an amputation?

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

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

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

What kinds of contractures should be avoided?
How can they be avoided?

hip and knee flexion
use stump board in wheelchair, lay prone, support in straight elevated position

11

What are the 5 stages of loss?

Denial Anger Bargaining Depression Acceptance

12

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

Phantom sensation

13

What types of sensations do phantom sensations encompass?

Kinesthetic, kinetic, extroceptive

14

What are kinesthetic sensations?

posture, length, volume

15

What are kinetic sensations?

movements

16

What are extroceptive sensations?

touch, temperature, pressure

17

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

phantom pain

18

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

residual limb pain

19

What does functional level 0 entail?

no ability or potential for weight bearing or transfer

20

What does functional level 1 entail?

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

21

What does functional level 2 entail?

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

22

What does functional level 3 entail?

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

23

What does functional level 4 entail?

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