Flashcards in Week 1 Deck (37)
Men/Women more affected by amputations?
Ethnicity most affected by Amputations?
Effect of age on amputations?
Rates progressively increase with age
Main cause of amputations?
Dysvascular and neuropathy related complications (81%)
PAD, PVD, diabetes
Cause of 85% of non-traumatic LE amputations?
Nonhealing or infected neuropathic ulcers
% of diabetes patients who will have an amputation?
% of patients who have amputation who will undergo contralateral amputation in 5 years?
How much more is a LE amputation than UE?
11x more likely
Most common LE amputation?
2nd most common LE amputation?
3rd most common LE amputation?
4th most common LE amputation?
5th most common LE amputation?
Hip disarticulation and Hemipelvicetomy
Where are incisions made for an amputation?
Distal to amputation level of bone to allow adequate soft tissue coverage
Where are veins/arteries clamped and ligated/sutered?
At the most distal point
How are nerves cut
Transsected under tension and allowed to retract.
What is a neuroma?
Hard bulbous end of a severed nerve. May cause pain
What is done to the end of the bone after an amputation?
Bone is beveled
What is a myoplasty?
Opposing muscle groups sutured to each other
What is a myodesis?
Opposing muscle group is sutured to the bone
What part of the amputation are incisions sutured?
They are sutured on non-weight bearing surfaces
Where is a toe amputation usually sutured?
Sutured alond anterior or dorsal aspect of the foot
What is a Lisfranc procedure?
What is a chopart procedure?
Where is the insicion sutured in a foot amputation?
Anterior or dorsal aspect of foot
What is a syme procedure?
Is a limb weight bearing after a syme procedure??
Not initially but after healing can weight bear for short periods of time
What is a TT or BK amputation?
Transtibial (below knee)
What is the ideal length of a TT amputation?
approx. 15 cm (33-50% original length) although some report 20-60%