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Chronic Conditions Exam 2
Amputation: Surg and preprosth. mngmnt
13
Other
Not Applicable
01/30/2005

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Cards

Term
What are 3 major causes for amputation?
Definition
Trauma, vascular disease, infection.
Term
What types of trauma lead to amputations? (4)
Definition
Comprimised arterial flow, avulsion or crushing injury, thermal injury, non-union fractures.
Term
What is classic post-op care of the amputee?
Definition
Drainage removal, suture removal, compression for edema.
Term
Potential post-amputation complications (7)
Definition
wound separation/infection/bleeding, joint contracture, bone spurs/overgrowth, scar formation/adhesion, skin graft problems, phantom limb sensations, post-amputation pain.
Term
What are the indications for an above knee amputation? (4)
Definition
Vascular problems, trauma, osteomyelitis and tumors.
Term
What are some problems with short-level above knee amputations?
Definition
Decreased ability to use prosthesis, rectus femoris is lost, hams have decr. function, adductors are cut but abd are intact.
Term
How far below the knee is the standard below knee amputation?
Definition
4-5" below tibial plateau.
Term
What is a Symes amputation? What is the problem with this type?
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.
Term
What is a pirogoff amputation?
Definition
A vertical cut through the calcaneus.
Term
What is a boyd amputation?
Definition
a horizontal cut through the calcaneus
Term
What is a chopart amputation? What is the risk with this type of amputation?
Definition
A cut through the midtarsal joint leaving talus and calcaneus to be WB. There is risk of equinus deformity.
Term
What is a Lisfranc amputation?
Definition
a cut between the tarsus and metatarsals.
Term
What does a patient need to have to be elegable for a transmetatarsal amputation?
Definition
>50mmHg BP at the ankle.
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