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Amputee Rehabilitation Questions with Solutions
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Amputee Rehabilitation
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Amputee Rehabilitationwhen did the ISO develop standardized terminology for amputations? - answer1989
healthcare professional who makes and fits braces and splints for people who need
added support for body parts that have been weakened by injury, disease, or disorders
of the nerves, muscles, or bones - answer orthotist
healthcare professional who makes and fits artificial limbs for people with disabilities -
answer prosthetists
when the amputation is across the axis of a long bone - answer trans
when the amputation is between long bones (through the center of the joint) - answer
disarticulation
distal to the ankle or wrist joint - answer partial
the intact "healthy" limb - answer sound limb
the extremity of a limb left after amputation or "stump" - answerresidual limb
why is "healthy" limb not always an appropriate term? - answerusually the person has a
disease process that has affected both limbs
which type of amputation is more common, upper or lower limb? - answerlower limb
why is the incidence of people living with limb loss predicted to increase in the US? -
answergrowing rates of diabetes and vascular disease
what are the four main causes of amputation in order from most common to least
common? - answer1) disease
2) trauma
3) cancer
4) congential
of the four causes of amputation, which do we have the most control over in terms of
education and prevention? - answerdisease
what are the most common diseases associated with amputations? - answerDM, PVD,
CVI
, how many persons with lower extremity amputations will require amputation of the
second leg within 2-3 years which makes education so important? - answerover half
(55%)
what are the leading causes of trauma associated with amputations? -
answermachinery, powered tools/appliances, firearms, MVAs
who is more likely to get an amputation between males and females and what is this
incidence ratio? - answermales; 3:1
how many individuals with an amputation will die due to vascular disease within 5
years? - answerhalf (50%)
why don't we always want to avoid amputations even with the advancements in
medicine we have today? - answersome patients will be more functional and have less
follow-up issues if amputated from the beginning
amputation is a _____________ operation - answerreconstruction
what is essential for surgery with amputations? - answerpre-operative planning
what are three objectives of surgery? - answer1) remove diseased and damaged
anatomy
2) construct a residual limb that functions
3) preserve as much functional length as possible
why is a longer residual limb not always better? - answermust consider what is best in
terms of function
where should amputations be performed? - answerat most distal site compatible with
wound healing to achieve the optimal potential for ambulation
what are three things you can examine to determine where to amputate? - answer1)
lowest palpable pulse
2) skin temp
3) bleeding at surgery
what helps to resist shear forces involved with prosthetic ambulation that must be
completed with surgery? - answermaintain sufficient soft-tissue coverage
what should surgeons do to the residual bone to make weight bearing more
comfortable? - answerbevel the bone ends
what is the purpose of wrapping muscle around the beveled bone end? - answerprovide
cushion and preserve function
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