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Flashcards in Postoperative LE Management Deck (17)
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1

What are three different post-op edema control systems?

1. ACE bandages
2. Elastic shrinker/stockinette
3. Removable and non-removable Rigid Dressing

2

What is the definition of K0-K4 functional level

K0 = nonambulatory
K1 = limited household ambulator
K2 = unlimited household, limited community ambulator
K3 = unlimited community ambulator
K4 = high energy activities

3

What kind of prosthesis is K0 allowed?

No prosthesis

4

What can a transtibial patient do while sitting to avoid knee flexion contracture?

Keep knee extended by placing it on a board

5

What can you do during postop management to prevent scar adhesions?

Deep friction massage perpendicular to the scar

6

What must amputee NOT do to avoid hip abduction contractures

Do not place a pillow between the legs

7

What kind of foot and knee prostheses is K2 allowed?

Feet: multi-axis foot
Knee: pneumatic or polycentric knee

8

How often must elastic bandages be changed for edema control?

Every 4-6 hours

9

How many hours per day should amputee wear a shrinkage device

24 hours per day, except for bathing

10

What kind of foot and knee prostheses is K3/4 allowed?

Feet: Energy-storing foot
Knee: hydraulic knee

11

What is the ideal shape for a transtibial residual limb vs transfemoral residual limb

Transtibial = cylindrical
Transfemoral = conical

12

What is a potential complication of using elastic bandages for edema control?

Can act as a tourniquet and cause constriction with distal edema

13

What is the best post-op edema control system that allows daily inspection of wounds and prevents contractures

Removable Rigid Dressing

14

What kind of foot and knee prostheses is K1 allowed?

Feet: SACH foot, single-axis foot
Knee: manual lock knee, stance-control knee

15

What 3 things must a transtibial amputee NOT do to avoid knee flexion contractures?

1. Do not lie down with pillow under the knee
2. Do not have leg hanging over edge of bed
3. Do not sit for a long period of time with leg hanging

16

What can transfemoral amputees do to prevent hip flexion contractures

Lie prone 15 minutes TID

17

What 3 things should a transfemoral amputee NOT do to avoid hip flexion contractures?

1. Do not lie on mattress that is too soft
2. Do not raise head of bed
3. Do not place pillow under back or under thigh