Transcript Post-Op Treatment of Amputee

Causes of amputations
85 % caused from peripheral vascular
disease
12% caused from traumatic accidents
(also includes cancer)
3% congenital
Benefits of aggressive post-op care
 Protect residual limb
 Most likely still have vascular issue, so 2nd limb still at
risk.
 Volume control
 Ace wrap or shrinker
 Promote full range of motion at knee
 Potential ambulation
Soft Dressing
 Gauze: let it breath, not
much benefit
Indications
 Easy to inspect limb
 Drainage tube can be
utilized
 No compression
Contraindications
 No volume control
 No protection for
residual limb or sutures
 No desensitizing of limb
 Does not prevent flexion
contracture
Ace Wrap & Shrinkers
Indications
Contraindications
 Controls volume
 Easy to inspect
 Inexpensive
 Improper wrapping can be
counterproductive
 Difficult/impossible to don
independently
 Offers little or no
protection
 Does not prevent flexion
contractures
Adjustable Post Operative
Protective Preparatory System
APOPPS/Flotech
Indications
Contraindications
 Protects residual limb
 No volume control
 Prevents flexion
 Not custom shaped
contracture
 Easy to apply/inspect
 Potential weight-bearing
to limb
 Costly
Rigid Dressing
Indications
Contraindications
 Custom protection of limb
 Cannot be used on bulbous
and suture line
 Controls swelling
 Desensitizes residual limb
 Removable to inspect limb
shaped limb
 Difficult to re-apply after
removal
 Needs to be closely
monitored for proper fit
Rigid Dressing with Pylon
Indications
Contraindications
 Allows standing partial
 Potential trauma to
weight-bearing (20-30
pds)
 Gait training
 Desensitizes limb
suture line
 Partial weight-bearing
which limits gait training
Immediate Post Operative
Prosthesis
Indications
Contraindications





 Difficult to inspect
 Costly
 Specialized/trained staff
Edema control
Protection
Prevents contractures
Less risk of infection
Potential weight-bearing
necessary
 Weight-bearing
unpredictable
Ischial Weight-Bearing
Prosthesis
Indications
Contraindications
 Full weight-bearing
 No weight-bearing through
immediate after surgery
 No potential for trauma to
limb
 Gait training
 Cardiovascular and
psychological benefits
limb
 A-typical gait
 Costly
Custom Prosthesis
For a new prosthesis, you gradual introduce the patient
to the wearing, having it on for an hour to gradually for
the majority of the day.
EX:
Week 1, wear 1hr, then take off for a while, put back on
for an hour.