Amputation Flashcards
(122 cards)
1
Q
surgical removal of all or part of a limb
A
Amputation
2
Q
amputation at the level of the joint; pediatric patients
A
Disarticulation
3
Q
amputation due to poor blood supply
A
Dysvacularization
4
Q
born with congenital limb deficiency
A
Congenital Limb Difference
5
Q
Residual limb AKA
A
Stump
6
Q
subcutaneous tissue used to cover the distal end bone
A
Flap
7
Q
clinical trimester for limb formation
A
1st trimester
8
Q
Causes of Congenital Limb Deficiency
A
Teratogen agents
Amniotic band syndrome
Rare hereditary implications
9
Q
complete missing of the limb after a certain point
A
Transverse Deficiency
10
Q
Transverse Deficiency AKA
A
Terminal Deficiency
11
Q
specific part of the limb is missing
A
Longitudinal Deficiency
12
Q
Longitudinal Deficiency AKA
A
Intercalary Deficiency
13
Q
Radial Ray Anomaly I
A
slightly short radius
14
Q
Radial Ray Anomaly II
A
very short radius; ulna moves sideways
15
Q
Radial Ray Anomaly III
A
partial missing radius
16
Q
Radial Ray Anomaly IV
A
complete missing of radius
17
Q
complete absence of the limb
A
Amelia
18
Q
partial absence of the limb
A
Meromelia
19
Q
flipper like appendage
A
Phocomelia
20
Q
missing metacarpal/metatarsal
A
Adactyl
21
Q
half of the limb is missing
A
Hemimelia
22
Q
missing fingers/toes
A
Aphalangia
23
Q
missing hand/foot
A
Acheiria
24
Q
Causes of Acquired Pediatric Amputation
A
MVA
Electric burn
Thermal burn
Explosion (MC)
Recreation
25
Causes of UE Amputation
Trauma (MC)
Tumor
Infection
26
Partial Hand Amputation
Transphalangeal
Transmetacarpal
Transcarpal
Wrist Disarticulation
27
Resection of Transphalangeal
proximal/middle/distal phalanx
28
Prosthesis for Transphalangeal
Custom finger
29
Resection of Transmetacarpal
Distal & Proximal Metacarpal
30
Prosthesis for Distal Transmetacarpal
Custom hand (stainless)
31
Prosthesis for Proximal Transmetacarpal
Specialized terminal device/Hook
32
Resection of Transcarpal
carpal bones
33
Spared in Transcarpal
wrist flexion, extension
pronation-supination
34
Spared in Wrist Disarticulation
pronation-supination
TFCC
35
Radial Amputation of Digits (Resection & Compromised)
Resection: thumb and index finger
Compromised: palmar grasp
36
Ulnar Amputation of Digits (Resection & Compromised)
Resection: 4th and 5th finger
Compromised: hook grasp
37
most functional and common amputation
Finger tip
38
Central Amputation (Removal)
3rd and 4th finger
39
Thumb Amputation (Compromised)
Lateral prehension
Pinch grip
Power and Palmar grasp
40
MC UE Amputation with the exception of Fingertip
Transradial (Below Elbow) Amputation
41
Long Transradial
55-90%
42
motions available in long transradial
60-120 pronation and supination
strong elbow flexion
43
motions available in short transradial
60 pronation and supination
decreased elbow flexion
44
Short Transradial
35-55%
45
Very Short Transradial
<55%
46
Socket for Long & Short Transradial
Dual-Walled
47
Socket for Very short Transradial
Muenster
48
Harness for Transradial
Figure of 8
49
Elbow unit for Transradial
Polycentric elbow unit
50
Control cable system for Transradial
Single control cable
51
Friction for Transradial
Constant wrist friction unit
52
Terminal Device for Transradial
Active Terminal Device: 5xa
53
Elbow Disarticulation
90-100%
54
Standard Transhumeral
50-90%
55
Short Transhumeral
30-50%
56
Humeral Neck Amputation
<30%
57
Socket for Short & Standard Transhumeral
Dual-Walled extending beyond the acromion process
58
Socket for Humeral Neck
Dual-Walled extending above the acromion process
59
Socket for Elbow Disarticulation
Broad & Flat
60
Suspension for Elbow Disarticulation
Self-suspending
61
Shoulder Disarticulation (Spared)
Humeral head
Glenoid fossa
Deltoid (Padding & covering)
62
Forequarter Amputation (Removal)
UE limb
Clavicle
Scapula
63
Indication of Shoulder Disart. & Forequarter Amputation
Tumor
64
3rd MC site of Osteosarcoma
Proximal Humerus
65
MC site for Ewing & Chondrosarcoma
Scapula
66
Prosthesis for Shoulder Disart. & Forequarter Amputation
Extends onto the thorax
(+) Chest strap
67
Causes of LE Amputation
Peripheral Arterial Disease (MC)
Trauma
Tumor
Infection
68
MC Amputation secondary to poor vascular supply
Toe Amputation
69
Fxnl limitation in Big Toe Amputation
Walking: standing difficulty
Running: limping appearance
70
Deformity in 2nd toe Amputation
Hallux Valgus
71
Prosthesis for 2nd toe amputation
Toe fillers
72
MC Ray Amputation
5th ray
73
Ray amputation (resection and spared)
Resection: MTT and phalanges
Spared: Base of metatarsal
74
Orthosis for Ray amputation
Rockerbottom
Carbon foot plate
75
Transmetatarsal (resection and spared)
Resection: metatarsal/forefoot
Spared: base of MTT
76
Lisfranc (resection)
Resection: MTT + Phalanges + Base of MTT
77
Lisfranc
Tarsometatarsal
78
Deformity in Lisfranc
Pes Equinovarus
79
Prosthesis for Lisfranc
AFO (active patients)
Carbon foot plate with toe fillers
80
MC level of amputation secondary to traumatic injury
Chopart/Transtarsal
81
Chopart (resection and spared)
Resection: Tarsal bones
Spared: talus & calcaneus
82
Deformity in Chopart
Pes Equinovarus
83
Boyd
Talectomy + Calcaneotibial fusion + Forward translation of tibia
84
Pirigoff
Talectomy + Calcaneotibial fusion + Forward and upward trans of calcaneus
85
Symes
transection 1.3 cm above the malleoli
86
Long Transtibial/BKA
>50%
87
Medium Transtibial/BKA
20-50%
88
Short Transtibial/BKA
<20%
89
self-suspending due to femoral epicondyles
Knee Disarticulation
90
Long Transfemoral/Above Knee
>60%
91
Medium Transfemoral/Above Knee
35-60%
92
Short Transfemoral/Above Knee
<35%
93
femur is less than 5 cm
Hip Disarticulation
94
Prosthesis for Hip Disarticulation
Canadian Hip Disarticulation
95
Components of Canadian Hip Disarticulation
Socket: encompasses the hemipelvis
Shank: endoskeleton
Knee: constant friction
FAA: shank
96
removal of half of the pelvis
will not require prosthesis for ambulation
Hemipelvectomy
97
Prosthesis for Hemicorporectomy
Bucket-shaped
98
Hemicorporectomy (removal)
LE limb
Pelvis
Transection at the lumbar spine
External genitalia
99
Flap (Criteria)
Broad
Painless
Pliable
100
equal length of anterior and posterior flap
Fishmouth
101
Long Posterior Flap
Burgess
Bruckner
102
Burgess (landmark)
Medial and lateral gastrocs
103
Bruckner (landmark)
Medial gastrocs
104
attachment of muscle to bone
Myodesis
105
attachment of muscle to muscle
Myoplasty
106
Stump (Criteria)
Painless
Healed and matured
Prosthetically ready
107
Prevents edema formation
Shrinkage
- Bandage (least effective)
- Juzo Compression Garment
108
Care Pathway LE Amputation Day 1
In-Bed
Respiratory care
Pain control exercise
Joint ROM
109
Care Pathway LE Amputation Day 2
Sit out in Chair
ROM
Strengthening (limbs and trunk)
Balance training
Transfer practice & W/C provision
Edema control
110
Care Pathway LE Amputation Day 3
Independence
Continue ROM, Strengthening, Balance exercise
Pain and edema control
Functional exercise (bridging, personal care, standing, w/c supported)
Postural correction
111
Care Pathway LE Amputation Day 4-7
Discharge Planning
Plan home visit with OT
Monitor edema control
Continue exercise program and mobility
Ensure appropriate clothing for rehab
112
Care Pathway LE Amputation Day 7-14
Prosthetic Assessment
Attend gym environment
Individual and group exercise session
Assessment and practice early walking aids
Prepare for prosthetic rehab (stump, shape, proprioception, strength)
113
Care Pathway LE Amputation Day 14-28
Develop Appropriate Plan
Progress rehab program
114
Care Pathway LE Amputation Week 4-6
Outpatient/Community
Cast/Prosthesis
Start prosthetic training
Ensure re-integration into home environment
115
Transtibial contracture
Knee flexion
116
Transfemoral contracture
Hip flexion and abduction
117
Phantom Pain
Burning
Crushing
Cramping
Dull aching
Electrical
Leg is being pulled off
118
Phantom Sensation
Pressure
Itching
Coldness
119
Residual Limb Pain
Joint, Muscle, Bone pain
Neuroma
120
Dressing for easy wound inspection
Soft Dressing
121
Dressing that promotes knee extension
Rigid Dressing
122
Dressing for early gait training
IPOP (Immediate Post-op Prosthesis)
