Term
What are 3 major causes for amputation? |
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Definition
Trauma, vascular disease, infection. |
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Term
What types of trauma lead to amputations? (4) |
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Definition
Comprimised arterial flow, avulsion or crushing injury, thermal injury, non-union fractures. |
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Term
What is classic post-op care of the amputee? |
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Definition
Drainage removal, suture removal, compression for edema. |
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Term
Potential post-amputation complications (7) |
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Definition
wound separation/infection/bleeding, joint contracture, bone spurs/overgrowth, scar formation/adhesion, skin graft problems, phantom limb sensations, post-amputation pain. |
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Term
What are the indications for an above knee amputation? (4) |
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Definition
Vascular problems, trauma, osteomyelitis and tumors. |
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Term
What are some problems with short-level above knee amputations? |
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Definition
Decreased ability to use prosthesis, rectus femoris is lost, hams have decr. function, adductors are cut but abd are intact. |
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Term
How far below the knee is the standard below knee amputation? |
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Definition
4-5" below tibial plateau. |
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Term
What is a Symes amputation? What is the problem with this type? |
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Definition
It's a cut just above the malleoli. They don't heal well b/c of poor blood supply, so it can't be done in the dysvascular pt. |
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Term
What is a pirogoff amputation? |
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Definition
A vertical cut through the calcaneus. |
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Term
What is a boyd amputation? |
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Definition
a horizontal cut through the calcaneus |
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Term
What is a chopart amputation? What is the risk with this type of amputation? |
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Definition
A cut through the midtarsal joint leaving talus and calcaneus to be WB. There is risk of equinus deformity. |
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Term
What is a Lisfranc amputation? |
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Definition
a cut between the tarsus and metatarsals. |
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Term
What does a patient need to have to be elegable for a transmetatarsal amputation? |
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Definition
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