Prosthetics

Front 1

Prosthesis

Back 1

A replacement of an absent part of the leg or arm

Front 2

Prosthetics

Back 2

A health care professional who designs, fabricates and fits limb prostheses.

Front 3

What gait problem is seen in Transmetatarsal amputation?

Back 3

"Push off"

Front 4

Name two types of amputation or disarticulation through the tarsals? And what deformity is seen?

Back 4

Lisfranc and

Chopart Disarticulation

Equinus Deformity

Front 5

Lisfranc what is intact?

Back 5

Cuneiform and Navicular

Front 6

Chopart what is intact and what is removed?

Back 6

Calcaneus and Talas are intact and cuneiform and Navicular are removed.

Front 7

Syme's amputation what is it, what is perserved and causes what shape?

Back 7

Surgical sectioning through the distal Tibia and Fibula, removal of the entire foot, and preservation of the calcaneal fat pad.

Causing a Bulbous shape

Front 8

Syme's Prostheses Socket whats the reason to the medial opening?

Back 8

Needed to accommodate the Bulbous shape. For more room.

Front 9

Transtibial Prostheses pt retains what and with what functions?

Back 9

The pt retains the anatomical knee with its Motor and Sensory functions.

Front 10

Named two Foot-Ankle Assemblies

Which one is more popular?

Back 10

1. Nonarticulated Feet

2. Articulated Feet

Nonarticulated is the most popular

Front 11

Name two types of Nonarticulated Feet.

Back 11

A.) SACH

Solid Ankle Cushion Heel

B.) SAFE

Stationary Attachment Flexible

Front 12

SACH

Back 12

Solid Ankle Cushion HeelAbsorbs shockPermits Plantarflexion in early stance Heel cushion allows small amount of medial-lateral and transverse motion.

Front 13

SAFE

Back 13

Stationary Attachment Flexible Endoskeleton For uneven surfacesHas a "Play" Great range of medial-lateral motion permitted in rear foot.Inversion and Eversio

Front 14

Flet-Foot and Springlite Foot are..

Back 14

Other nonarticulated feet for Athletes and Runners

Front 15

Name two Articulated Feet. Which one is most common?

Back 15

A.)Single-Axis Feet

MOST COMMON

B.)Multiple-Axis Feet

Front 16

Single-Axis Feet

Back 16

MOST COMMON

A rear bumper Absorbs shock and controls Plantarflexion excursion.

Does NOT allow medial-lateral or transverse motion.

Front 17

Multiple-Axis Feet

Back 17

Components move slightly in all planes to aid the wearet max contact with the walking surface no mater if its even or has irregularities.Heavier and less durable than single-axis.

Front 18

What material is the Single-Axis Foot and Multiple-Axis Foot made of?

Back 18

Single-Axis is made of Resilient material

Multiple-Axis is made of Titanium material

Front 19

For the single-axis foot

If softer on front allows what motion? If softer in the back allows what motion?

Back 19

Softer in the front for Dorsiflexion

Softer in the back for Plantarflexion

Front 20

Shank is a Replacement of...

Name the two types of Shanks.

Back 20

Your leg.

Exoskeletal Shank and Endoskeletal Shank

Front 21

Consist of a central Aluminum or rigid plastic tube called Pylon usually covers with foam rubber. More natural in appearance. Can be adjusted and has more compartments.

Back 21

Endoskeletal Shank

Front 22

Sometimes called Crustacean, typically made of rigid plastic

Less lifelike and do not permit changes in alignment of the prosthesis and are less frequent prescribed.

Back 22

Exoskeletal Shank

Front 23

How long does it take for a residual limb to stabilize?

Back 23

2 years

Front 24

The amputation limb fits into a plastic receptacle called?

Back 24

Socket

Front 25

Design to contact ALL portions of the amputated limb for maximum distribution of the load

Back 25

Transtibial Socket

Front 26

The socket is aligned on the shank in what slight motion? And for what? And prevents what?

This motion facilitates contraction of what Muscle?

Back 26

In slight Flexion

To enhance loading on the patellar ligament.

Prevents Genu Recurvatum

Flexion also facilitates contraction of the Quadriceps muscles.

Front 27

Socket is also aligned with a slight lateral lateral tilt to reduce loading on...and prevent

Back 27

On the Fibular head to prevent pressure on Peroneal Nerve.

Front 28

All individuals with LE amputation require a?

Back 28

Supply of clean socks of appropriate material, size and shape.

Front 29

Fabric socks are woven in various thinknesd, referred to as what?

Back 29

Ply

Front 30

Cotton socks are made in what plys and are least what?

Back 30

Least Allergenic

Made in Two, Three and Five-Ply

Front 31

Wool socks (Expensive)

Provide what? And made in what plys?

Back 31

Good cushioning, woven in Three, Five and Six

Front 32

When pt requires 15-ply of socks to achieve snug fit it should be..

Back 32

Altered or Replaced by the Prosthestist.

Front 33

Suspensions

Back 33

Hold the prosthesis to the residue limb..holds it in place.

Front 34

Name 4 types of suspension and which is most used?

Back 34

Supracondylar Cuff (most used)

Fork Strap

Silicone Seath w/ pin

Vacuum Assisted

Front 35

The Vacuum Assisted has what type of Shank?

Back 35

Endoskeletal Shank

Front 36

Transfemoral Prostheses

Back 36

Above Knee

Front 37

Foot-Ankle Assemblies and Shanks for Transfemoral

Back 37

SACH

Single-Axis Foot

Exoskeleton or Endoskeletal Shank may be used.

Front 38

Axis System two types

Back 38

Single-Axis Hinge

Polycentric Linkage

Front 39

Single-Axis Hinge motion

Back 39

Bending and Extending

Front 40

Polycentric Linkage

Back 40

More complex

Provides mechanical swing control and allows a single optimal walking speed.

Front 41

Transfemoral Socket

Back 41

Should be a total-contact receptacle to distribute load over the maximum area, thereby reducing pressure.

Front 42

Name three types of Transfemoral Sockets

Back 42

1.) Quadrilateral Socket

2.) Ishial Containment Socket

3.) ComfortFlex™ Socket

Front 43

Quadrilateral Socket (Transfemoral)

Back 43

Shape is Quadrilateral when view from above.

Front 44

Ischial Containment Socket (Transfemoral) slight sicket Flexion is desirable for what 3 reasons?

Back 44

1. To facilitate contraction of Hip Ext

2. To reduce Lumbar Lordosis

3. To provide a zone through which the thigh may be extended to permit the wearer to take steps of app equal length

Front 45

ComfortFlex™ Socket

Back 45

The carbon fiber frame provides structural support while intimately fit Flexible socket allows for m contraction and improved control of the prosthesis.

Front 46

Suction Suspension (Transfemoral)

Refers to...

Back 46

The difference b/t pressure inside and outside the socket.

Front 47

Name the three types of suctions?

Back 47

Total suction

Partial suction

No suction

Front 48

Total Suction

Back 48

Completely held by suction

Front 49

Partial Suction

Back 49

A socket that is slightly loose may provide suction suspension combined w/ Axillary suspension, the socket has a valve. The pt wears one or more socks or a syntetic liner. Beacuse air enters the space between the sock's fibers, Axillary suspension is needed. Either a fabric Silesian Belt or a rigid plastic or metal hip jt and Pelvic Band

Front 50

No suction

Back 50

Th pt wears one or more socks and requires a Pelvic Band.

Front 51

Name three ways to care for Foot-Ankle Assemblies

Back 51

1. Avoid getting prosthetix foot wet

2. Avoid stepping in sand it may enter the cleft

3. Don't walk w/o a shoe

Front 52

Care for the Shank for Endoskeletal and Exoskeleton

Back 52

Endoskeletal (made of plastic) no direct heat

Exoskeletal needs to be wiped only periodically w/ a dampened cloth.

Front 53

Care for knee unt of Transfemoral

Back 53

Call the prosthetist to tighten knee mechanism

Lubricate the knee and ankle area if there's squeaking.

Front 54

Care for Plastic Sockets

Back 54

Wash with cloth dampened in warm water that has a very small amount of mild soap dissolved in it.

Front 55

Care for Socket Liners made of Polyethylene

Back 55

Wash by hand in tepid water with mild soap, rinsed, and air-dried overnight. No direct sunlight.

Front 56

Care for Leather Corsets

Back 56

Should be kept dry. Use of saddle soap will keep leather clean.

Front 57

Care for Transfemoral suction valve

Back 57

Should be brushed Daily to remove Talcum and lint, these may clog the tiny Aperture.