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Amputees (complications (pain (phantom pain, phantom sensation, stump…
Amputees
complications
poor stump skin quality
contracture
poor joint ROM
poor stump shape; difficulty fitting prosthesis
pain
phantom pain
phantom sensation
stump pain
psychological/emotional difficulty
Patient Rehabilitation
initial mobility, transfers
stump ROM e.g. knee ROM.
optimisation of proximal muscles
multidisciplinary team
podiatrist
physiotherapist
psychologist
occupational therapist
prosthetist
medical specialist
prosthetic prescription/fitting
interim
final
gait re-education
muscle conditioning
prosthetic design is very specific to patient's needs
Amputee Types
transtibial
transfemoral
bilateral TT
Variety of foot amputations
upper limb amputations
Prevalence/break down
Primarily vascular related
trauma is second major reason
men more than women
low health literacy levels common
Prosthetics
Prosthetic Types
Prosthetic Candidacy
Case by case basis; no set rule/gold standard
prosthetic linings
Patient Assessment
Basic post-operative assessment
subjective examination
standard post op discussion
mechanism very importaant
gauge psychological state
gauge understanding of amputee process
clarify surgeon's intentions/stage of surgery (chart)
objective examnation
transfers
condition of other limb
basic balance
drains
joint ROM of appropriate
surgical management
often a two stage operation; requires secondary formalisation
take into account mechanism; importan