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Flashcards in Postoperative LE Management Deck (17)
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What are three different post-op edema control systems?

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


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


What kind of prosthesis is K0 allowed?

No prosthesis


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

Keep knee extended by placing it on a board


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

Deep friction massage perpendicular to the scar


What must amputee NOT do to avoid hip abduction contractures

Do not place a pillow between the legs


What kind of foot and knee prostheses is K2 allowed?

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


How often must elastic bandages be changed for edema control?

Every 4-6 hours


How many hours per day should amputee wear a shrinkage device

24 hours per day, except for bathing


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

Feet: Energy-storing foot
Knee: hydraulic knee


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

Transtibial = cylindrical
Transfemoral = conical


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

Can act as a tourniquet and cause constriction with distal edema


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

Removable Rigid Dressing


What kind of foot and knee prostheses is K1 allowed?

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


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


What can transfemoral amputees do to prevent hip flexion contractures

Lie prone 15 minutes TID


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