Integ - Amputee

Question 1

what is myodesis

Answer 1

mus secured to bone
-suture distal tendon through hole drilled in bone

Question 2

what is myoplasty

Answer 2

attach mus to opposing mus

Question 3

5 balance impairments w/o ankle jt

Answer 3

-loss somat input
-decreased WB through residual limb
-limitations ADLs
-higher fall risk
-alters postural control

Question 4

what is partial ft amputation

Answer 4

trans metatarsal

Question 5

what is one gait impairment of LLA

Answer 5

loss power generation

Question 6

what % range of tibial length spared for BKA

Answer 6

20-50%

Question 7

5 gait characteristics of BKA

Answer 7

-decreased velocity
-shorter step length
-increased stance phase on sound limb
-decreased stance on amputated limb
-asymmetrical stance phase duration

Question 8

what % range of femur spared for AKA

Answer 8

35-60%

Question 9

what % range of increased energy expenditure in AKA vs norm

Answer 9

60-65%

Question 10

6 gait characteristics of AKA

Answer 10

-lateral trunk lean during stance
-circumduction
-widened BOS
-ABD gait
-uneven step length
-exaggerated lordosis

Question 11

lateral trunk lean occurs towards which side for AKA

Answer 11

toward prosthetic side

Question 12

what is the most common reason for UE amputation

Answer 12

trauma

Question 13

what are 2 risk factors for UE amputation

Answer 13

-cancer tumor
-increased risk 65+

Question 14

what is phantom sensation

Answer 14

feeling that limb still there; uncomfy sensations

Question 15

what is phantom pain

Answer 15

perception of pain in missing limb

Question 16

4 common contracture sites

Answer 16

-hip flex
-hip ABD
-hip ER
-knee flex

Question 17

what is the gold standard outcome measure

Answer 17

Amputee mobility predictor (AMP-pro)

Question 18

4 post-op pre-prosthetic rehab goals

Answer 18

-dressing on residual limb
-optimize ROM and strength
-desensitize residual limb
-use AD

Question 19

4 s/s to discontinue interventions

Answer 19

-excess drainage through bandages
-sharp localized pain in residual limb
-fever
-foul odor (infect)

Question 20

3 ways to desensitize residual limb

Answer 20

-tapping
-vibration
-massage

Question 21

what are 4 prosthetic components

Answer 21

-socket
-sock
-terminal device
-liner

Question 22

what type of terminal device for UE? LE?

Answer 22

hook

ft component

Question 23

what is a liner

Answer 23

silicone or gel protects skin and minimize shear forces

Question 24

what are pressure tolerant areas

Answer 24

transient redness EXPECTED after prosthetic use

Question 25

4 BKA pressure tolerant areas

Answer 25

-patellar tendon -supracondylar areas and suprapatellar area -tibial and fibular shafts -distal end (rare)

Question 26

3 AKA pressure tolerant areas

Answer 26

-ischial tub -lat/med and A/P flare of stump -distal end of stum for total contact only

Question 27

what are pressure sensitive areas

Answer 27

NO REDNESS should be seen after prosthetic use

Question 28

4 BKA pressure sensitive areas

Answer 28

-patella -tib tub, crest, ant distal tib -fib head and neck -fibular nerve

Question 29

4 AKA pressure sensitive areas

Answer 29

-greater troch -ASIS, distal femur -pubic ramus, add tendon, pubic tubercle -sutures

Question 30

3 post-op dressings

Answer 30

ace, shrinker, rigid

Question 31

3 advantages of ace wrap

Answer 31

-edema control -can access wound easily -inexpensive

Question 32

4 disadvantages of ace wrap

Answer 32

-no protection from environment -hard for pt to apply -difficult for proper app and maintain even compress -won't prevent contracture

Question 33

4 advantages of shrinker

Answer 33

-edema control -can access wound easily -inexpensive -even compression layers

Question 34

4 disadvantages of shrinker

Answer 34

-may catch on staples/sutures -may increase pain during app -no protection from environment -no contracture prevention

Question 35

how long does rigid dressing stay on

Answer 35

7-10 days

Question 36

3 advantages of rigid dressing

Answer 36

-protection from environment and fall -best edema control -contracture prevention in BKA

Question 37

4 disadvantages of rigid dressing

Answer 37

-high risk for infect -bulky, heavy -limited wound access -require close monitoring

Question 38

how often to remove AKA stump wrapping

Answer 38

every 4 hours or sooner if it loosens