Prosthetics terms

Frage	Antworten
Arthroplasty	Any surgical removal of a joint/body part to reduce pain or improve function
What types of prosthetics will you normally see and why?	LE's typically due peripheral vascualr disease and other LE's conditions
Shoulder disarticulation	Surgical removal of the UE from the shoulder
Transhumeral	Surgical removal of the UE from the proximal elbow (above elbow joint)
Elbow disarticulation	Surgical removal of the UE from directly from the elbow joint
Transradial	Surgical removal of the UE from the distal elbow (below elbow joint)
Wrist disarticulation	Surgical removal of the UE from directly at the wrist joint
Partial hand	Surgical removal of part of the hand
Hemipelvectomy	Surgical removal of the LE with half of the pelvis
Hip disarticulation	Surgical removal of the LE from the pelvis
Transfemoral	Surgical removal of the LE above the knee joint
Knee disarticulation	Surgical removal of the LE directly at the knee joint
Transtibial	Surgical removal of the LE below the knee joint
Syme's	Surgical removal of the foot at the ankle
Chopart's	Disarticulation of the midtarsal joint
Transmetatersal	Surgical removal of the midsection of the metatarsals
For transradial what does the socket need to have to fit?	Cover 2/3 of forearm. No additional harness. Socket can be shorten to allow pronation/supination. Self-suspending.
For transhumeral what does the socket need to have to fit?	Must extent to acromion. Modified for stability. Lightweight for the patient.
For transradial what does the suspension need to have to fit?	Tricep cuff. (Harness and cable)
For transhumeral what does the suspension need to have to fit?	Suction (Harness and cable)
For transradial what does the elbow unit need to have to fit?	Attaches to triceps cuff. Flexible or rigid where it can connect to proximal unit.
For transhumeral what does the elbow unit need to have to fit?	Internal/external locking of the elbow unit
For transradial what does the wrist unit need to have to fit?	Quick change of unit. Wrist flexion unit. Ball and socket. Constant friction.
For transhumeral what does the wrist unit need to have to fit?	Quick change of unit. Wrist flexion unit. Ball and socket. Constant friction.
For transradial what does the terminal device need to have to fit?	Voluntary open/closing. Hook/hand. Powered from body/external source.
For transhumeral what does the terminal device need to have to fit?	Voluntary open/closing. Hook/hand. Powered from body/external source.
For transfemoral what does the socket need to have to fit?	Ishcial/quadrilateral socket.
For transtibial what does the socket need to have to fit?	Patella tendon, or supracondylar, or suprapetellar socket.
For transfemoral what does the suspension need to have to fit?	Complete/partial suction. Bandage of residual limb. Pelvic belt/band.
For transtibial what does the suspension need to have to fit?	Rubber sleeve. Waist belt with fork strap. Thigh corset.
For transfemoral what is needed to make up the knee?	Friction mechanism to mimic a knee.
For transtibial what is needed to make up the knee?	N/A
What is an example of a rigid post-operative dressing?	Plaster of paris which is basically casting.
What are the advantages of rigid for post-operative dressing?	Allows early ambulation with pylon. Promotes healing. Limits edema. Provides proprioception awareness.
What are the disadvantages of rigid for post-operative dressing?	Unable to skin check wounds. Unable to change dressing.
What is a type of semi-rigid for post-operative dressing?	Air-spints
What are the advantages of semi-rigid for post-operative dressing?	Reduces post-operative edema. Protection. Earlier ambulation. Easily changeable.
What are the disadvantages of semi-rigid for post-operative dressing?	Do not protect 100%. Requires frequent changing. May loosen which will allow edema to form.
What is an example of soft post-operative dressing?	Ace wrap or shrinker
What are the advantages of soft for post-operative dressing?	Reduces post-operative edema. Some protection. Inexpensive. Easily removable for skin checks. Allows for AROM at joint.
What are the disadvantages of soft for post-operative dressing?	Tissue healing interrupted from bandage change and AROM. Increase risks of contractures. Less control over residual limb pain.

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