post surgical management Flashcards
what are the post surgical goals
control edema/prepare residual limb for pro
prevent contractures
enhance the control of the res-limb
determine the best method for functional mobility
what contracture do we see with tib
knee ext contracture
what contracture do we see with femoral
hip flexion contracture
post op dressing - rigid advantages
decreases edema
can attach to a temp foot or pylon
reduces length of time needed to shrink the limb
post op dressing - rigid disadvantages
can compromise wound healing
cannot see the wound
heavy
hard to sit with sometimes
post op dressing - semi-rigid types
unna paste -
air limb - similar to air cast
post op dressing - soft advantages
elastic bandage
easy, inexpensive, available
post op dressing - soft disadvantages
elastic bandage
less effective at controlling edema
require freq rewrapping
what are shrinkers
pull on elastic stocking used to control edema and shape the limb
do not disturb the stables or sutures
when dressing a post op limb - what shape
cylindrical
when dressing a post op limb - pressure
more distal pressure then proximal
when dressing a post op limb - securing it
use tape over metal tips
when dressing a post op limb - tran femoral where should the banage be anchored
the hip
where does an add roll form
form high on the inner thigh above the socket line
what does Myodesis mean
If the muscle groups themselves are attached directly and securely to the periosteum or the bone
