Chap 117 LE and UE Amputations Flashcards Preview

Vascular Surgery > Chap 117 LE and UE Amputations > Flashcards

Flashcards in Chap 117 LE and UE Amputations Deck (21):
1

When to consider primary LE amputation?

extensive foot lesions
severe co-morbidities
unfavorable anatomy for revascularization

2

What is 30d mortality for BKA?

7%

3

What are amputations used in infected states?

cryo amputation
guillotine

4

What pulse features can predict healing in amP?

pulse immediately proximal to amp site

5

What skin temp can predict healing in amp?

90F

6

What ankle pressure can predict healing in amp?

>60mmHg

7

What skin perfusion pressure can predict healing in amp?

>20mmHg

8

What tcP02 can predict healing in amp?

>20-30mmHg

9

What bones are divided for transmet?

metatarsals

10

What is the terminal bone for a lisfranc amp?

cuneiforms

11

What is the terminal bone in a Chopart amp?

talus and calcaneus

12

What is the terminal bone for a syme's?

tibia fibula

13

What kind of flaps can you do for a transtibial amp?

sagittal flap
skew (sideways fishmouth)
fishmouth
medial

14

What muscles are in the anterior compartment of the thigh?

sartorius
quad femoris
tensor fascia lata

15

What muscles are in the medial compartment of the thigh?

gracillis
pectineus
adductor longus
adductor brevis
adductor magnus

16

What muscles are in the posterior compartment of the thigh?

biceps femoris
semitendinosus
semimembranosus

17

What muscles are in the posterior compartment of the thigh?

biceps femoris
semitendinosus
semimembranosus

18

List small vessel srteriopathies that might affect the hand?

scleroderma
RA
SLE
sjogrens
Buerger

19

What is normal wrist to brachial index?

0.85-1.0

20

What blood work to send for auto-immune workup?

ESR
CRP
antiphospholipid antibodies
ANA titer
rheumatoid factor

21

What digital pressure will predict healing of amp in the hand?
at the wrist?

>40mmHg
>60mmHg