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Created by Justin Lao
about 7 years ago
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| Question | Answer |
| 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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