Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

PT9121 - Acute Care 1 > Lecture 15 - Amputations > Flashcards

Lecture 15 - Amputations Flashcards

1
Q

What are common causes of limb loss

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Residual limb

A

Remaining part of limb after an amputation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Remaining Limb

A

Unaffected leg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Amputation

A

Loss or removal of a portion or entire limb by dividing through one or more bones

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Disarticulation

A

Removal of a limb between joint surfaces

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Partial Toe (Amputation)

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Ray Resection (Amputation)

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Trans metatarsal (Amputation)

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Ankle Disarticulation (Symes -> Amputation)

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Transtibial (BKA -> Amputation)

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Transfemoral (AKA -> Amputation)

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Hip Disarticulation (Amputation)

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Hemipelvectomy (Amputation)

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Hemicorporectomy (Amputation)

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are the 2 most common LE amputations?

A

Circled in red

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Compare transtibial (BKA) and Syme’s (Ankle disarticulation) amputation in terms of lever length, shape, healing rate, and end weightbearing

A

Note: Cylindrical is better for prosthesis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Name some UE amputation

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What is a forequarter (interscapulothoracic) amputation

A

Amputation that is very rarely performed (only malignancies) that takes the entire UE including scapula and clavicle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Osseointegration

A

Metal implant that attaches to femur that prevents rubbing and irritation on butt and groin area = much more comfortable and can feel the ground and vibrations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Rotationplasty

A

Cut off bad part of leg (most of it) and rotate foot/ankle and reattach to upper thigh, then can attach prosthetic to foot and gives them the benefit of it being easier for a prosthetic and for them to keep their sensation in their foot

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Open amputation

A

Wound left open to allow for clearance of infection

NOTE: Black dressing = put over open wound hooked up with hose to portable vacuum to stimulate granulate tissue to help with healing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Closed amputation

A

Skin flaps are closed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What factors determine the level of amputation

A
  1. Patient history
  2. surgeons clinical exam
  3. Surgeon’s knowledge/preference
  4. Interoperative tissue condition
  5. Tissue viability
  6. Infection
  7. Function
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What are 3 surgical goals of amputation

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

What are 4 methods of muscle closure after amputation

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

What happens to the skin after amputation

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

What happens to the bone after amputation

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

What happens to the nerves after amputation

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

What happens to the blood vessels after amputation

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

What is the course in hospital after minor amputation

A
31
Q

Is it important to maintain heel weight bearing status and why or why not?

A

Yes for adequate knee and ankle ROM

32
Q

Name 3 options to maintain heel weight bearing status

A
33
Q

What sound dont you want to here from a darco boot?

A

-Clicking sound means coming forward on toes which you don’t want to do

34
Q

What are the 3 phases of post-op care for BKA and AKA

A
35
Q

What are post-surgical goals for BKA and AKA (8)

A
36
Q

What are causes of edema following amputation?

A
37
Q

What are complications of edema following amputation

A
38
Q

What are methods to control edema

A
39
Q

What are types of dressings to use after amputation (5)

A
40
Q

Soft dressings, pros, and cons

A
41
Q

Semi-rigid dressings, pros, and cons

A
42
Q

Rigid dressings, pros, and cons

A
43
Q

What are 3 methods of compression and limb shaping following amputation

A
44
Q

How should tubigrip be applied for BKA

A

Below knee amputation up to mid thigh -> need it snug up to bottom and not to pucker

45
Q

How should tubigrip be applied for AKA

A
46
Q

How should tensor wrap be applied for BKA

A

Make sure pressure is consistent throughout

47
Q

How should tensor wrap be applied for AKA

A

Make sure pressure is consistent throughout

48
Q

What are removable rigid dressings, and there pros and cons

A
49
Q

What is an immediate post-op prosthesis and its pros and cons

A
50
Q

What are key focuses of positioning following amputation

A
51
Q

What are common contracture for above knee amputations (AKA)

A
52
Q

What are common contracture for below knee amputations (BKA)

A
53
Q

What are the implications of contractures following amputations

A
54
Q

Why do contractures occur following amputation

A
55
Q

What are methods to prevent contractures

A
56
Q

Should you avoid putting a pillow under the limb of an amputation

A

Yes, it Encourages knee and hip flexion -> do not want that as we want the leg to be flat and straight

57
Q

What are some ROM and strengthening exercises focusses for amputation

A

-Residual limb just doing gentle ROM no strength training at this type

58
Q

What is the cause of residual limb pain and some methods to treat it

A
59
Q

Should we use cryotherapy for the vascular amputation population?

A

NO -> Neuropathy = cannot feel the cryotherapy and also we want to encourage blood flow to the area to enhance healing so adding ice inhibits blood flow and therefore the healing process

60
Q

Phantom sensation

A

feeling or tickling after limb is removed = normal (body is adjusting to surgery)

61
Q

Phantom pain

A

burning sharp shooting pain (again body is adjusting to surgery = less common though)

62
Q

What are typical reported feelings for phantom lib sensations and some consequences

A
63
Q

What are some solutions to resolve phantom limb sensation?

A
64
Q

What are different types of mobility for amputees

A
65
Q

What happens to the center of mass following an amputation

A

Also because they loss mass from amputation (look at image in first part)

66
Q

How does a centre of mass shift impact bed mobility, transfers, balance, ambulation, and safety?

A
67
Q

Methods for bed mobility and supine to sit for amputees

A
68
Q

Methods for balance training for amputees

A
69
Q

Methods for transfer training for amputees

A
70
Q

What is the importance of manual wheelchair propulsion

A
71
Q

When is ambulation/stair training performed for amputees

A
72
Q

Should hopping be performed by amputees and what would some potential complications be and methods to reduce fall risk?

A

It depends

73
Q

What is the course in a hospital following a major amputation

A

PT9121 - Acute Care 1 (40 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions