Post-Op
3 common contractions that need to be avoided with both Trans-Femoral and Trans-Tibial amputations. (Give at least 2)
What are Hip Flexion, Hip Abduction, and Hip ER?
Give me one gait deviation that might result due to excessive knee friction.
What is vaulting, circumduction, or hiking?
In strengthening, this joint is considered the key.
What is the hip?
Socks should never be worn under this.
What is a gel liner?
These patients are NOT likely to become functional prosthetic users.
What is bilateral transfemoral amputees?
With coaching from the PTA, a patient may be talked into this ideal position.
What is prone?
Give me 2 potential causes for a lateral bending gait with a TF prosthesis?
What is medial brim too high, medial ischio-pubic ramus pain, distal lateral thigh pain, weak abductors, prosthesis is too short, prosthetic foot is too outset, pain, a socket that is too abducted
Before working on balance with a patient, it is imperative to do this.
What is build trust?
This is considered a game changer and facilitates the need for a new prosthesis.
What is 8-15 ply socks?
The patella, peroneal/fibular nerve, and fibular head are examples of this.
What is a pressure sensitive area?
A PTA should know this before applying ACE wraps to a patient.
What is patients circulatory status?
May occur with a SACH heel cushion that is too firm.
What is knee buckling?
When strengthening, contractions should be added to treatment in this order.
What is isometric, isotonic, and isokinetic?
This is indicated for heavy duty users with funding limitations.
What is Exoskeletal?
This type of amputation involves removal of everything below L4-5
What is a hemicorporectomy?
85% of amputees experience this phenomenon.
What is Phantom Limb?
May occur if the SACH heel is too soft?
What is decreased knee flexion and/or decreased shock absorption?
Along with motion of the LE for TT and TF amputations, this UE motion should be a focus of strengthening.
What is shoulder extension (triceps) and or depression (Lats)?
Socks pull on and the seam should run this direction to the suture line.
What is parallel?
Ankle disarticulation with attachment of heel pad to the distal end of the tibia. May include removal of malleoli.
What is Syme's?
If a patient is experiencing this surgical complication, they will be able to point to an exact spot.
What is neuroma?
This gait deviation may occur if the knee axis is rotated too laterally.
What is a medial heel whip?
A PTA should consider implementing this technique along with AROM and static stretching to increase flexibility post op.
What is Contract Relax?
These 3 items are contraindications for Endoskeletal Prosthesis.
What is heavy duty users, patient exceeds weight restrictions, and limited funding?
This surgical process is best used on patients who have poor circulation or impaired healing.
What is myofascial closure?