post surgical management Flashcards

1
Q

what are the post surgical goals

A

control edema/prepare residual limb for pro

prevent contractures

enhance the control of the res-limb

determine the best method for functional mobility

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2
Q

what contracture do we see with tib

A

knee ext contracture

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3
Q

what contracture do we see with femoral

A

hip flexion contracture

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4
Q

post op dressing - rigid advantages

A

decreases edema

can attach to a temp foot or pylon

reduces length of time needed to shrink the limb

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5
Q

post op dressing - rigid disadvantages

A

can compromise wound healing

cannot see the wound

heavy

hard to sit with sometimes

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6
Q

post op dressing - semi-rigid types

A

unna paste -

air limb - similar to air cast

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7
Q

post op dressing - soft advantages

A

elastic bandage

easy, inexpensive, available

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8
Q

post op dressing - soft disadvantages

A

elastic bandage

less effective at controlling edema

require freq rewrapping

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9
Q

what are shrinkers

A

pull on elastic stocking used to control edema and shape the limb

do not disturb the stables or sutures

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10
Q

when dressing a post op limb - what shape

A

cylindrical

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11
Q

when dressing a post op limb - pressure

A

more distal pressure then proximal

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12
Q

when dressing a post op limb - securing it

A

use tape over metal tips

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13
Q

when dressing a post op limb - tran femoral where should the banage be anchored

A

the hip

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14
Q

where does an add roll form

A

form high on the inner thigh above the socket line

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15
Q

what does Myodesis mean

A

If the muscle groups themselves are attached directly and securely to the periosteum or the bone

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16
Q

do many people have IPOP

A

no it is rare

most patient are not walking on post op day 1

17
Q

is post op res-limb pain prevalent

A

yes - help with meds and controlling edema

18
Q

what is phantom sensation

A

feeling that the limb is still present

including touch, temp, itchiness

19
Q

what is phantom pain

A

60-85% of pt experience pain in the missing portion of the amp limb

20
Q

when does phantom pain normally set in

A

one week after post op

21
Q

how is the phantom pain described

A

sharp

throbbing

burning

normally around a 5/10

22
Q

what is important to ID with phantom pain

A

what is phantom pain and what is res-limb pain

23
Q

what contractures are prevalent

A

knee flex, hip flexion, hip abd

24
Q

what should be avoid in positioning following post op amb

A

use of pillows under the knee or hip - we want to maintain full flex and ext

25
Q

what kind of laying is promoted

A

prone lying if the pt can assume this position

26
Q
A