Amputations

Question 1

what is the best length for a residual limb in a blow knee amputation?

Answer 1

6 inches

Question 2

ERTL procedure

Answer 2

-creating a bone bridge using fibula bone graft and tibia periosteum

Question 3

outcome of the ERTL procedure

Answer 3

• longer recovery time
• pt and end-bear weight
• different prosthetic fitting
• often fails

Question 4

LE amputation classifications from lowest to highest

Answer 4

• foot amputation
• transtibial
• knee disarticulation
• transfemoral
• hip disarticulation

Question 5

UE amputation classifications from lowest to highest

Answer 5

• wrist disarticulation
• transradial
• transhumeral
• shoulder disarticulation
• forequarter amputation

Question 6

wound care after amputation

Answer 6

• wound vac

- ice cube therapy or anything to desensitize the incision

Question 7

how to ensure the limb is ready to be put into a prosthetic

Answer 7

either figure 8 wrap or shrinker sock

Question 8

what is essential to overall good health and quality of life after amputation?

Answer 8

physical therapy

Question 9

prevalence of phantom limb pain

Answer 9

• 60-80% of amputees experience phantom sensations in amputated limb
• majority are painful
• occurs w/i a few days of amputation in 75% of pts
• can be months to even years later

Question 10

common types of phantom pains

Answer 10

• cramping
• shooting
• stabbing
• burning

Question 11

non pharmaceutical tx of phantom limb pain

Answer 11

• “calming the waves”
• artificial visual feedback (w/ mirror)
• massage
• cold packs
• exercise
• neuromusclar stimulation by external electrical currents
• acupuncture
• regional sympathectomy

Question 12

medications for phantom limb pain

Answer 12

• gabapentin
• amyitriptyline
• carbamazepine
• phenytoin