EMORY DPT GMC: Amputee Rehab in Acute Care –
Questions With Right Solutions
Save Groups
Terms in this set (28)
What are some important points Approx. ½ of people who have a dysvascular
related to LLA and PT amputation will die within 5 years
55% of people with a LLA with diabetes will require
amputation of the second leg within 2‐3 years
What are the rehab phases of EDUCATION IS CRITICAL IN ALL PHASES!!! (always
amputation? educate multiple times)
Pre-op (variable depending on vascular, trauma, etc.)
Acute post-op
Pre-Prosthetic
Prosthetic
Life-time follow-up
What are the potential management Post-op pain: surgical and phantom limb
outcomes that we can influence in
realtion to post op amputations? Physical Health:
Co-morbidities
Effects of prolonged immobilization
Contracture
Pressure Ulcer
DVT
Remediate physical functioning status
Functional Mobility/Activity
Prosthetic Tolerance
Participation
Quality of Life
Safety
, What are the common causes of Peripheral Vascular Disease
Dysvascular amputations? - Poor vascularization
- Skin breakdown, diminished wound healing,
infection
Diabetes
- Loss of protective sensation in the foot due to
peripheral neuropathy
- Risk of contralateral limb amputation
- Increased risk of amputation revision in years 1-5
Frostbite
Advances in revascularization & wound care has
increased the age of first amputation
What are common causes of trauma Motor vehicle accidents including motorcycles, ATV,
amputation? etc.
War-related injury
Reduced incidence due to improved limb salvage
procedures
What are common oncological Osteosarcoma
amputation causes? Significant reduction due to imaging, chemo, limb
salvage
What are the LLA surgical Maintain as much length and as many joints as
considerations? possible
Provide healthy soft tissue envelope and pad
Maintain the most near-natural muscle balance
Select the appropriate length to remove all of
diseased tissue or optimize vascularization
Questions With Right Solutions
Save Groups
Terms in this set (28)
What are some important points Approx. ½ of people who have a dysvascular
related to LLA and PT amputation will die within 5 years
55% of people with a LLA with diabetes will require
amputation of the second leg within 2‐3 years
What are the rehab phases of EDUCATION IS CRITICAL IN ALL PHASES!!! (always
amputation? educate multiple times)
Pre-op (variable depending on vascular, trauma, etc.)
Acute post-op
Pre-Prosthetic
Prosthetic
Life-time follow-up
What are the potential management Post-op pain: surgical and phantom limb
outcomes that we can influence in
realtion to post op amputations? Physical Health:
Co-morbidities
Effects of prolonged immobilization
Contracture
Pressure Ulcer
DVT
Remediate physical functioning status
Functional Mobility/Activity
Prosthetic Tolerance
Participation
Quality of Life
Safety
, What are the common causes of Peripheral Vascular Disease
Dysvascular amputations? - Poor vascularization
- Skin breakdown, diminished wound healing,
infection
Diabetes
- Loss of protective sensation in the foot due to
peripheral neuropathy
- Risk of contralateral limb amputation
- Increased risk of amputation revision in years 1-5
Frostbite
Advances in revascularization & wound care has
increased the age of first amputation
What are common causes of trauma Motor vehicle accidents including motorcycles, ATV,
amputation? etc.
War-related injury
Reduced incidence due to improved limb salvage
procedures
What are common oncological Osteosarcoma
amputation causes? Significant reduction due to imaging, chemo, limb
salvage
What are the LLA surgical Maintain as much length and as many joints as
considerations? possible
Provide healthy soft tissue envelope and pad
Maintain the most near-natural muscle balance
Select the appropriate length to remove all of
diseased tissue or optimize vascularization
