Post Op
3 common contractures that need to be avoided with both transfemoral and transtibial amputees. (Give all)
What are hip flexion, hip abduction, hip ER
Give one gait deviation that might result from excessive prosthetic knee friction.
What is circumduction, vaulting, or hip hiking
What joint is considered the key joint to strengthen.
What is the hip
Prosthetic socks should never be worn under this.
These patients are NOT likely to become functional prosthetic users.
Bil. transfemoral amputees
What is the ideal positioning for someone with transfemoral and transtibial amputation?
What is prone
What are 2 potential causes for lateral side bending in stance with a TF prosthesis?
Medial brim too high
Weak abductors
Pain in medial pubic ramus
Pain in distal lateral thigh
Before working on balance with a patient, it is imperative to do this?
Build prosthetic trust.
What facilitates the need for a new prosthesis
What is 15 ply socks
The patella, perineal nerve, fibular head are examples of this.
Pressure sensitive areas
What to know before applying ACE wrap to a patient
What is the patient's circulatory status
Avoid circular movements, no wrinkles, grade pressure distal>proximal, do not use metal clips
What may occur with a SACH heel cushion that is too firm
Knee buckling or prosthetic foot ext. rotation
What UE motion should be a focus of strengthening for those with TT And TF amputations?
Shoulder ext (triceps) and Shoulder depression (lats)
This type of prosthesis is indicated for heavy duty users with funding limitations.
Exoskeletal prosthesis
This type of amputation involves removal of everything below L4-5
Hemicorporectomy
85% of amputees experience this phenomenon that can be debilitating and affect prosthetic use.
Phantom limb pain/sensation
What may occur if the SACH heel is too soft
Foot slap, decreased knee flexion, dec. shock absorption
Patient with limited ambulation that primarily uses the prosthesis for transfers. The best foot for this patient is? What K level?
SACH (Solid Ankle Cushion Heel) foot or
SAFE (Stationary Attachment Flexible Endoskeleton)
(non-articulated feet)
When pulling on prosthetic socks, the seam should run in this direction in relation to the suture line
Parallel
Ankle disarticulation with attachment of heel pad to distal end of tibia. May include removal of malleoli
Syme's amputation
Surgical complication where the patient can point to an exact spot on the residual limb.
Neuroma
This gait deviation may occur if the knee acts is rotates laterally.
Meidal whip
To increase flexibility post. op, consider this PNF technique along with AROM and static stretching to increase flexibility.
Contract Relax
Form of suspension in which the entire residual limb has a vacuum seal against the entire socket.
Total contact
This surgical processs is best used on patients who have poor circulation or impaired healing.
What is myofascial closure