Management Of Amputation Stump.pptx
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This document discusses the management of amputation stumps. It notes that optimal recovery requires a multidisciplinary team to ensure wound healing, reduce edema, manage pain, shape the stump, and prepare for prosthetics. Pre-prosthetic rehabilitation includes cardiovascular training, upper body and core strengthening, and early mobility exercises. Edema is reduced through compression therapy and rigid dressings to accelerate wound healing and stump shaping. The optimal time for prosthetic fitting considers volume reduction of the stump. Soft dressings include bandages and stockings, while rigid options include plaster casts and immediate post-op prosthetics. Removable rigid dressings and compression therapy are also discussed.
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This document discusses casts and slabs for immobilizing musculoskeletal injuries. Casts fully surround the limb while slabs only partially surround. Casts provide better immobilization but have higher risks of complications like pressure sores. The document outlines indications, advantages, disadvantages and application steps for casts and slabs. It emphasizes the importance of monitoring for complications, starting physiotherapy early, and removing the cast or slab as soon as possible.
principles of fracture fixation A.O classification
The principles of fracture fixation aim to ensure fractures heal properly and patients return to normal function. They include:
1) Restoring anatomical relationships through fracture reduction to realign displaced bone fragments.
2) Providing absolute or relative stability through fixation methods like plates or external fixators to hold the reduction.
3) Preserving blood supply by minimizing soft tissue and bone trauma during surgery.
4) Allowing early and safe mobilization through exercise to promote healing and prevent complications.
Principles of fracture fixation
The principles of fracture fixation aim to ensure fractures heal properly and patients return to normal function. They include:
1) Restoring anatomical relationships through fracture reduction to realign displaced bone fragments.
2) Providing absolute or relative stability through fixation methods like plates or external fixators to hold the reduction.
3) Preserving blood supply by minimizing soft tissue and bone trauma during reduction and fixation to support healing.
4) Allowing early and safe mobilization through exercise to promote healing and prevent complications while the fracture mends.
Lesson 3 Levels of Amputation.ppt
1. The level of amputation is selected based on factors like viability of tissues, risk of infection, and suitability for prosthesis use.
2. Lower extremity amputations are generally classified based on the level - such as transfemoral (above knee), transtibial (below knee), knee disarticulation.
3. The goal is to amputate at the lowest possible level to allow for maximum function with a prosthesis. Higher levels of amputation are associated with greater challenges to rehabilitation.
Casting splinting and bracing for wounds
This document discusses casting, splinting, and bracing for wounds. It describes how casts are used to hold fractures in place and prevent movement of injured areas. Splints are used when there is too much swelling and prevent motion, especially for soft tissue injuries. Braces allow a predetermined amount of motion and can be alternatives to splints. The document provides examples of different types of casts, splints, and braces and how they can help treat and protect wounds, fractures, and surgical sites. It emphasizes that casting, splinting, and bracing are important techniques for immobilizing injuries and wounds during the healing process.
How i do below knee amputation
This document provides information about below knee amputation, including:
- Indications for below knee amputation include gangrene, peripheral vascular disease, trauma, burns, and severe loss of function.
- The level of amputation is determined by the disease process, tissue viability, and available prosthetics. Adequate blood flow is confirmed using clinical assessments and Doppler ultrasound.
- Postoperative care includes preventing complications, deformities, edema, strengthening muscles, and rehabilitating the patient for mobility and prosthetic use.
amputations pg.pptx
Amputation is the surgical removal of a limb or extremity. It is used to control pain, disease processes, or as a form of punishment. The key types of amputation are based on the bone or joint where the amputation occurs. Complications can include hematomas, necrosis, contractures, neuromas, phantom sensations, and causalgia. Proper stump care and rehabilitation is important for successful prosthetic fitting and use. The goal is to achieve a prosthesis-compatible stump to allow for functional restoration with a prosthetic device.
Burns surgical management
1. Surgical management of burn wounds includes debridement methods like chemical, mechanical, autolytic, and surgical excision. Early excision is preferred within 72 hours when possible.
2. Excision techniques include tangential and fascial excision. Escharotomy may be needed for circumferential burns to relieve pressure.
3. Following excision, wounds are closed with skin grafts or other skin substitutes. Long term rehabilitation addresses splinting, positioning and scar management to prevent contractures and promote healing.
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principles of fracture fixation A.O classification
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Management Of Amputation Stump.pptx
- 1. Management Of Amputation Stump By Dr Fairuz Khamzah
- 2. Overview 1. Post Op Mangement 2. Pre Prosthetic Rehab 3. Edema 4. Prosthetic fitting 5. Choices of dressing type 6. Summary
- 3. What is needed in post op management? - Multi-disciplinary team Optimal recovery and rehabilitation after amputation requires a multi-disciplinary approach. It is important that all personnel involved in the treatment of the amputee, obtain knowledge of each others professions and working procedures. Occupational therapist Prosthetist Rehabilitation Consultant Physio- therapist Nurse Orthopaedic surgeon The Amputee
- 4. What is needed in post op management? - Aims • Ensure good wound healing • Reduce edema in residual limb • Pain reduction • Shape residuum • Protection of residuum from external stresses • Prevent contractures • Prepare for prosthetic management/ambulation
- 5. Pre Prosthetic Rehab • Cardiovascular Training • Streghtening Upper Limb and core • Balance in standing and sitting • Early Mobility ▫ Transfer into bed ▫ Bed to wheelchair ▫ Standing ▫ Walking
- 6. Wound Healing - edema • Inflammatory response ▫ Edema exudate forms Fluids from the medullary bone bleeding, tissue exudate and blood loss form oedema exudate Harmful effects of oedema: • Delays wound healing ▫ Increases interstitial pressure • Increased risk of infection • Induces the onset of pain
- 7. Harmful effects of Edema • Amputees often predisposed to edema: ▫ Pre existing vessel disease ▫ Decreased capacity for venous return Incision to vessels Cut muscles ▫ Immobility
- 8. What do we want? • Modelling from club shape to conical shape • Reduction of edema
- 9. The right time for prosthetic fitting.. • Volume reduction after transtibial amputation (Lilja et al 1996)
- 10. What are the options: • Soft dressings: ▫ Elastic Bandaging ▫ Elastic Stockings/ stump shrinkers • Rigid dressings ▫ Thigh level rigid plaster dressing without immediate prosthesis ▫ IPOP – Immediate Post op Prosthesis • Removable Rigid Dressing (RRD) • Compression therapy/RRD
- 11. Soft Dressing • Elastic Bandage
- 12. Soft Dressing • Elastic Stocking
- 13. Rigid Dressing • Plaster Of Paris
- 14. Rigid Dressing • Immediate Post op Prosthesis
- 15. Removable Rigid Dressing • Vacum Dressing
- 16. Compression Therapy • Silicon Liner
- 17. Summary • Wound healing as soon as possible • Effective treatment of edema • Rigid dressing is preferable than non rigid
- 18. THANK YOU