Amputation

Front 1

removal of a body extremity by trauma, prolonged constriction or surgery

Back 1

acquired amputation

Front 2

inborn amputation

Back 2

congenital amputation

Front 3

non-functional amputation or a part of limb that has no sensation

Back 3

elective amputation

Front 4

type of amputation if there is an infection

Back 4

open amputation

Front 5

type of amputation if there is no infection at all

Back 5

closed amputation

Front 6

amputation through the DISTAL of the metacarpus or to the metatarsus

Back 6

minor amputation

Front 7

through the proximal of the metacarpal or metatarsal

Back 7

major amputation

Front 8

amputation of the connection within 2 bones

Back 8

disarticulation

Front 9

causes of amputatoin: 1st year of life

Back 9

congenital deficiencies

Front 10

causes of amputation: 1-10 years of age

Back 10

accident, trauma, tumors

Front 11

causes of amputation: 10-20 years of age

Back 11

malignancy

Front 12

causes of amputation: 55 years of age

Back 12

PVD

Front 13

major cause of LE amputation

Back 13

Peripheral Vascular Accident

Front 14

most common cause of PVD

Back 14

atherosclerosis

Front 15

second leading cause of amputation of LE

Back 15

trauma

Front 16

third leading cause of amputation of LE

Back 16

tumors (osteogenic sarcoma)

Front 17

last cause of amputation of LE

Back 17

congenital causes

Front 18

4 causes of congenital amputation:

Back 18

1. teratogenic agents
2. intrauterine development
3. diabetes mellitus
4. hereditary causes

Front 19

complete absence of entire UE

Back 19

amelia

Front 20

partial absence of limb

Back 20

hemimelia or meromelia

Front 21

terminal transverse hemimelia

Back 21

acheiria

Front 22

absent digit

Back 22

adactylia

Front 23

absent foot

Back 23

apodia

Front 24

absence of the proximal portion of the limb

Back 24

phocomelia

Front 25

absence of the middle part of a bone with the proximal and the distal parts present

Back 25

intercalary

Front 26

normal length of elbow stumps:

Back 26

tip of acromion process to lateral epicondule

Front 27

stump length of above elbow stumbs:

Back 27

tip of acromion process to end of stump

Front 28

above elbow 0%

Back 28

shoulder disarticulation

Front 29

above elbow 1-30%

Back 29

humeral neck

Front 30

above elbow 31-50%

Back 30

short above elbow

Front 31

above elbow 51-90%

Back 31

long above elbow

Front 32

above elbow 91-100%

Back 32

elbow disarticulation

Front 33

below elbow 0%

Back 33

elbow disarticulation

Front 34

below elbow 1-35%

Back 34

very short below elbow

Front 35

below elbow 36-55%

Back 35

short below elbow

Front 36

below elbow 56%-90%

Back 36

long below elbow

Front 37

below elbow 91-100%

Back 37

wrist disarticulation

Front 38

removal of clavicle, scapula and arm

Back 38

forequarter amputation

Front 39

resection of lowerhalf of the pelvis

Back 39

hemipelvictomy

Front 40

amputation both lower limbs and pelvic below L4, L5 level

Back 40

hemicoporectomy

Front 41

amputation of the transmetatarsal, distal end of metatarsal and tarsal (-) toe off

Back 41

lisfranc amputation

Front 42

disarticulation of the foot with removal of both malleoli through ankle or subtalar joint

Back 42

syme's amputation

Front 43

ideal stump size above knee amputee

Back 43

10 cm or 3-4 inches above knee joint

Front 44

ideal stump size below knee amputee

Back 44

8 to 18 cm or 5 - 7 inches below medial tibial plateau

Front 45

percentage for above and below knee levels (DeLisa): <33%

Back 45

short above knee or below knee stump

Front 46

percentage for above and below knee levels (DeLisa): 33-66%

Back 46

medium length below knee or above knee stump

Front 47

percentage for above and below knee levels (DeLisa): >66%

Back 47

long above knee or below knee stump

Front 48

percentage for above and below knee levels (Sullivan): >50% of tibial length

Back 48

long below knee

Front 49

percentage for above and below knee levels (Sullivan): 20-50%

Back 49

below knee

Front 50

percentage for above and below knee levels (Sullivan): <20% of tibial length

Back 50

short below knee

Front 51

most common contracture for BKA

Back 51

knee flexion contracture

Front 52

most common contracture for AKA

Back 52

hip abduction and flexion

Front 53

pain, tingling, itching, or numbness in the place where the amputated part used to be

Back 53

phantom pain

Front 54

most common type of phantom pain

Back 54

cramps

Front 55

steps for prosthetic management (6)

Back 55

1. preprosthetic
2. pre-operative
3. operative
4. post-operative
5. prosthetic fitting and training
6. prosthetic follow-up care

Front 56

muscles are just (proximal/distal) to the level of intended bone suction

Back 56

distal

Front 57

bone must be ______ and should be covered with a good padding of tissue

Back 57

beveled

Front 58

nerves should be ____ before cutting to retract

Back 58

pulled

Front 59

blood vessels (the major blood vessels are __ and small ones are ___)

Back 59

ligated
cauterized

Front 60

skin closure for above knee amputee

Back 60

fish mouth or middle flap

Front 61

skin closure of below knee amputee

Back 61

posterior flap or anterior suture

Front 62

muscles that need to be strengthened for crutch walking: (4)

Back 62

triceps
latissimus dorsi
pectoralis major and minor
wrist extensors

Front 63

most commonly used AD for prosthetic device

Back 63

parallel bars

Front 64

post operative dressings: (3)

Back 64

1. rigid
2. semi-rigid
3. soft

Front 65

made of plaster of paris

Back 65

rigid

Front 66

rigid dressing are changed every __ days

Back 66

5-10 days

Front 67

advantages of rigid dressings: (3)

Back 67

1. limits post-op edema
2. allows early ambulation
3. reduces length of time for stump

Front 68

disadvantages of rigid dressings: (3)

Back 68

1. wound infection
2. requires careful application
3. requires closure supervision

Front 69

a compound, zinc oxide, gelatin, glycerin, and calamine

Back 69

unna paste dressing

Front 70

uses unna paste dressing

Back 70

semi rigid

Front 71

advantage of semirigid dressing

Back 71

better control of edema

Front 72

disadvantage of semirigid dressing

Back 72

may loosen easily

Front 73

oldest method of post-surgical management of residual limb

Back 73

soft dressing

Front 74

advantages of soft dressing (5)

Back 74

1. inexpensive
2. light weight and readily available
3. easily laundered
4. comfortable
5. reusable

Front 75

disadvantage of soft dressing (4)

Back 75

1. poor control of edema
2. requires skill of application
3. need frequent reapplication
4. can slip and form a tourniquet

Front 76

appropriate size of bandage for above knee

Back 76

two 6-inch bandage seen together and one 4 inch bandage

Front 77

appropriate size of bandage for below knee

Back 77

two 4 inches elastic bandage

Front 78

golden age of prosthetic fitting

Back 78

within 30 days after surgery of amputation

Front 79

different energy expenditures for amputees: single BKA

Back 79

9-28%

Front 80

different energy expenditures for amputees: double BKA

Back 80

41-100%

Front 81

different energy expenditures for amputees: single AKA

Back 81

40-65%

Front 82

different energy expenditures for amputees: double AKA

Back 82

150%

Front 83

different energy expenditures for amputees: single AKA and BKA

Back 83

75%

Front 84

different energy expenditures for amputees: unilateral Hemipelvictomy with prostheses

Back 84

125%

Front 85

different energy expenditures for amputees: wheelchair

Back 85

9%

Front 86

different energy expenditures for amputees: crutch ambulation without prostheses

Back 86

50%

Front 87

Functional classification of amputees: class I

Back 87

full restoration

Front 88

Functional classification of amputees: class II

Back 88

partial restoration

Front 89

Functional classification of amputees: class III

Back 89

self care plus

Front 90

Functional classification of amputees: class IV

Back 90

self care minus

Front 91

Functional classification of amputees: class V

Back 91

cosmetic plus

Front 92

Functional classification of amputees: VI

Back 92

not feasible, only wheelchair is prescribed