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13 Cards in this Set
- Front
- Back
what is a symes amp
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amputation of the foot through the articulation of the ankle with removal of the malleoli of the tibia and fibula
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what is a byde amputation?
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amputation at the ankle with removal of the talus and fusion of the tibia and calcaneus.
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what is a chopat amputation?
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Chopart amputation removes the forefoot and midfoot, saving talus and calcaneus;
this is a very unstable amputation, noting that most of the tendons which act around the ankle joint have lost their insertion into foot and the heel remains unstable; - has a pronounced tendency to go into equinus |
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what is a lisfranc amputation?
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amputation of the foot at the tarsometatarsal joint, the plantar soft tissues being preserved to make the flap
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what is a transmetatarsal ?
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name these mid foot amputations
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1) metatarsophalangeal
2) transmet/ mid tarsal |
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what fxal losses (3) result from PFA?
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premature toe break, shortened stride length, foot lever arms reduced.
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Px Rx for transmet amputation?
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toe filler
ucbl type px extended steel shank rocker sole |
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Px rx for Lisfranc amputation?
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toefiller insufficient
suspension difficult supramalleolar high top shoe/boot Px may require afo with filler |
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name 4 benefits of symes amputatation
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long lever arm
distal end bearing good suspension efficient gait px |
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3 options for Px Rx for symes amputation?
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1-posterior opening- extremely bulbous distal end, ease of donning, post-op, structurally less stable
2-medial opening/door 3-Cylindrical-pelite liner, stove pipe design |
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what are the 3 goals of px management of partial foot px?
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increase wt bearing
provide cushioning assist in roll-over |
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describe why chopart amp is so difficult to deal with prosthetically
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no build ht room
px must extend to patellar tendon |