Podcast
Questions and Answers
What are some indications for lower extremity amputations?
What are some indications for lower extremity amputations?
- Better cosmesis (correct)
- No weight-bearing surface
- Higher energy consumption
- Decreased sensory input
Which of the following is NOT a reason for distal limb salvage as opposed to amputation?
Which of the following is NOT a reason for distal limb salvage as opposed to amputation?
- decreased sensory input (correct)
- Less distortion of body image
- Enhanced lifestyle
- Better weight-bearing surface
According to Attinger and Brown, what is a crucial consideration for successful limb salvage?
According to Attinger and Brown, what is a crucial consideration for successful limb salvage?
- Achieving a functional prosthesis fit
- Controlling infection
- Ensuring good blood flow
- Creating a stable soft tissue envelope (correct)
What does Malone suggest about the tissue to be removed during amputations?
What does Malone suggest about the tissue to be removed during amputations?
Which factor must be sufficient at the level of the proposed amputation for primary skin healing to occur?
Which factor must be sufficient at the level of the proposed amputation for primary skin healing to occur?
What is a common reason for considering an amputation in cases of Charcot deformity?
What is a common reason for considering an amputation in cases of Charcot deformity?
What is the primary purpose of leaving intrinsic muscle stability around the metatarsal phalangeal joint?
What is the primary purpose of leaving intrinsic muscle stability around the metatarsal phalangeal joint?
What is the rationale for performing resection at the proximal metaphysis?
What is the rationale for performing resection at the proximal metaphysis?
Which of the following is NOT an indication for a ray resection procedure?
Which of the following is NOT an indication for a ray resection procedure?
What was the likely reason for the 59-year-old patient with psoriasis and a kidney transplant to undergo toe amputation?
What was the likely reason for the 59-year-old patient with psoriasis and a kidney transplant to undergo toe amputation?
What is the primary goal of a transmetatarsal amputation?
What is the primary goal of a transmetatarsal amputation?
Which of the following is NOT a key factor in determining the need for a transmetatarsal amputation?
Which of the following is NOT a key factor in determining the need for a transmetatarsal amputation?
Which artery supplies the lateral ankle and plantar heel?
Which artery supplies the lateral ankle and plantar heel?
What is the surgical element that is recommended for stabilizing hindfoot fusions for long-term success?
What is the surgical element that is recommended for stabilizing hindfoot fusions for long-term success?
How many angiosomes does the foot have?
How many angiosomes does the foot have?
In cases of diabetes mellitus with chronic ulcers and osteomyelitis, which surgical intervention is usually not considered as a treatment option?
In cases of diabetes mellitus with chronic ulcers and osteomyelitis, which surgical intervention is usually not considered as a treatment option?
Which condition warrants insertion of antibiotic-contaminated tissue according to the text?
Which condition warrants insertion of antibiotic-contaminated tissue according to the text?
Which artery supplies the medial plantar instep?
Which artery supplies the medial plantar instep?
What surgical procedure is mentioned as necessary for stability and function 3 years later after a specific case study?
What surgical procedure is mentioned as necessary for stability and function 3 years later after a specific case study?
What is the most important factor to consider for amputation level?
What is the most important factor to consider for amputation level?
Which artery continues on to the dorsum of the foot as the dorsalis pedis?
Which artery continues on to the dorsum of the foot as the dorsalis pedis?
In the context of limb salvage, what surgical consideration is emphasized in the article by Boyd, H.R. from October 1939?
In the context of limb salvage, what surgical consideration is emphasized in the article by Boyd, H.R. from October 1939?
What is the primary purpose of determining the level of adequate blood flow when considering the amputation level?
What is the primary purpose of determining the level of adequate blood flow when considering the amputation level?
What is the current state of predicting healing based on vascular status?
What is the current state of predicting healing based on vascular status?
Which of the following vascular assessment techniques is described as an 'emerging technology' in the text?
Which of the following vascular assessment techniques is described as an 'emerging technology' in the text?
What is the recommended timing for performing a definitive amputation procedure after a vascular intervention?
What is the recommended timing for performing a definitive amputation procedure after a vascular intervention?
What is the primary purpose of the 'angiosome concept' discussed in the text?
What is the primary purpose of the 'angiosome concept' discussed in the text?
What is the key message conveyed by the quote 'I have cut many things that have bled poorly and healed well, and I have cut many thing that have bled well and healed poorly'?
What is the key message conveyed by the quote 'I have cut many things that have bled poorly and healed well, and I have cut many thing that have bled well and healed poorly'?
How many angiosomes does the posterior tibial artery feed?
How many angiosomes does the posterior tibial artery feed?
Which artery supplies the lateral forefoot and entire plantar forefoot?
Which artery supplies the lateral forefoot and entire plantar forefoot?
What is a major factor to consider for determining the amputation level for non-ambulatory patients?
What is a major factor to consider for determining the amputation level for non-ambulatory patients?
Which artery supplies the medial plantar instep?
Which artery supplies the medial plantar instep?
What anatomical structure does the anterior tibial artery become on the dorsum of the foot?
What anatomical structure does the anterior tibial artery become on the dorsum of the foot?
Based on the text, what is a significant consideration for successful limb salvage?
Based on the text, what is a significant consideration for successful limb salvage?
Which ASA Physical Status class corresponds to patients with a stable, chronic medical problem that is well controlled, such as stable diabetes?
Which ASA Physical Status class corresponds to patients with a stable, chronic medical problem that is well controlled, such as stable diabetes?
Which amputation level is described as being frequently performed through the base of the proximal phalanx?
Which amputation level is described as being frequently performed through the base of the proximal phalanx?
Which of the following is NOT a key factor in determining the need for a transmetatarsal amputation?
Which of the following is NOT a key factor in determining the need for a transmetatarsal amputation?
Which amputation level is described as involving the resection of the calcaneus?
Which amputation level is described as involving the resection of the calcaneus?
Which artery supplies the medial plantar instep?
Which artery supplies the medial plantar instep?
What is the primary purpose of determining the level of adequate blood flow when considering the amputation level?
What is the primary purpose of determining the level of adequate blood flow when considering the amputation level?
Which surgical intervention is recommended for stabilizing hindfoot fusions for long-term success?
Which surgical intervention is recommended for stabilizing hindfoot fusions for long-term success?
What surgical procedure is mentioned as necessary for stability and function 3 years after a specific case study?
What surgical procedure is mentioned as necessary for stability and function 3 years after a specific case study?
Which condition warrants the insertion of antibiotic-contaminated tissue according to the text?
Which condition warrants the insertion of antibiotic-contaminated tissue according to the text?
What is the primary purpose of leaving intrinsic muscle stability around the metatarsal phalangeal joint?
What is the primary purpose of leaving intrinsic muscle stability around the metatarsal phalangeal joint?
In the context of limb salvage, what surgical consideration is emphasized in the article by Boyd, H.R. from October 1939?
In the context of limb salvage, what surgical consideration is emphasized in the article by Boyd, H.R. from October 1939?
What is the main indication for performing a lisFranc’s disarticulation?
What is the main indication for performing a lisFranc’s disarticulation?
Why is preservation of tendon emphasized in the context of amputations?
Why is preservation of tendon emphasized in the context of amputations?
What adjunct procedure is mentioned in the text related to transmetatarsal amputation?
What adjunct procedure is mentioned in the text related to transmetatarsal amputation?
What should be checked in patients before undergoing surgical procedures according to the text?
What should be checked in patients before undergoing surgical procedures according to the text?
Why is it recommended to have at least 2 units of blood available during surgery?
Why is it recommended to have at least 2 units of blood available during surgery?
What is a key consideration for utilizing a tourniquet in reconstructive surgery for patients with prior lower extremity revascularization?
What is a key consideration for utilizing a tourniquet in reconstructive surgery for patients with prior lower extremity revascularization?
What is one of the emerging technologies mentioned for vascular assessment in the text?
What is one of the emerging technologies mentioned for vascular assessment in the text?
When discussing the timing of surgery after vascular intervention, what is the recommended duration post angioplasty?
When discussing the timing of surgery after vascular intervention, what is the recommended duration post angioplasty?
What is a key concept used to predict the healing potential based on composite vascular territories?
What is a key concept used to predict the healing potential based on composite vascular territories?
In limb salvage procedures, what is crucial for long-term success, as per the text?
In limb salvage procedures, what is crucial for long-term success, as per the text?
Which quote from the text touches on the variability in bleeding and wound healing outcomes?
Which quote from the text touches on the variability in bleeding and wound healing outcomes?
What is a technological method recommended in the text for intraoperative evaluation during surgery?
What is a technological method recommended in the text for intraoperative evaluation during surgery?
Which ASA Physical Status classification corresponds to a patient with a stable, chronic medical problem that is well controlled, such as stable diabetes?
Which ASA Physical Status classification corresponds to a patient with a stable, chronic medical problem that is well controlled, such as stable diabetes?
A patient with a severe systemic disease that is a constant threat to life, such as severe congestive heart failure, would be classified as which ASA Physical Status?
A patient with a severe systemic disease that is a constant threat to life, such as severe congestive heart failure, would be classified as which ASA Physical Status?
Which ASA Physical Status classification is reserved for a patient who is not expected to survive without the operation?
Which ASA Physical Status classification is reserved for a patient who is not expected to survive without the operation?
A patient with a severe, life-threatening systemic disease, such as multiple organ dysfunction syndrome, would be classified as which ASA Physical Status?
A patient with a severe, life-threatening systemic disease, such as multiple organ dysfunction syndrome, would be classified as which ASA Physical Status?
Which ASA Physical Status classification is used for a normal, healthy patient?
Which ASA Physical Status classification is used for a normal, healthy patient?
A patient with a severe, incapacitating systemic disease that is a constant threat to life, such as advanced cardiac disease, would be classified as which ASA Physical Status?
A patient with a severe, incapacitating systemic disease that is a constant threat to life, such as advanced cardiac disease, would be classified as which ASA Physical Status?
In the ASA Physical Status classification, which class corresponds to patients with severe systemic disease that is a constant threat to life?
In the ASA Physical Status classification, which class corresponds to patients with severe systemic disease that is a constant threat to life?
Which ASA Physical Status class includes patients with a moderate systemic disease or health issue?
Which ASA Physical Status class includes patients with a moderate systemic disease or health issue?
According to the ASA Physical Status classification, which class includes a normal, healthy patient?
According to the ASA Physical Status classification, which class includes a normal, healthy patient?
Patients in ASA Physical Status class III are described as having what type of systemic disease?
Patients in ASA Physical Status class III are described as having what type of systemic disease?
Which ASA Physical Status classification is assigned to patients with a severe systemic disease that is not a constant threat to life?
Which ASA Physical Status classification is assigned to patients with a severe systemic disease that is not a constant threat to life?
'ASA' in the ASA Physical Status classification stands for:
'ASA' in the ASA Physical Status classification stands for:
According to the ASA Physical Status classification, which class describes patients who are very seriously ill and require intensive perioperative care?
According to the ASA Physical Status classification, which class describes patients who are very seriously ill and require intensive perioperative care?
Which ASA Physical Status class is assigned to patients who are not expected to survive surgery or the perioperative period?
Which ASA Physical Status class is assigned to patients who are not expected to survive surgery or the perioperative period?
According to the ASA Physical Status classification, which class would a patient with well-controlled type 2 diabetes mellitus be assigned to?
According to the ASA Physical Status classification, which class would a patient with well-controlled type 2 diabetes mellitus be assigned to?
Which ASA Physical Status class is assigned to patients who have no medical problems other than the pathologic condition associated with the surgery?
Which ASA Physical Status class is assigned to patients who have no medical problems other than the pathologic condition associated with the surgery?
According to the ASA Physical Status classification, which class describes patients who are more seriously ill with unstable medical problems and likely need close medical supervision in the perioperative period?
According to the ASA Physical Status classification, which class describes patients who are more seriously ill with unstable medical problems and likely need close medical supervision in the perioperative period?
Based on the ASA Physical Status classification, which class would a patient with a recent myocardial infarction be assigned to?
Based on the ASA Physical Status classification, which class would a patient with a recent myocardial infarction be assigned to?
What is one major factor to consider for determining the amputation level for non-ambulatory patients?
What is one major factor to consider for determining the amputation level for non-ambulatory patients?
Which artery supplies the lateral forefoot and the entire plantar forefoot?
Which artery supplies the lateral forefoot and the entire plantar forefoot?
What is a key consideration for perioperative medical care according to the text?
What is a key consideration for perioperative medical care according to the text?
Why might it be advantageous to maintain a limb even if the patient is not ambulatory?
Why might it be advantageous to maintain a limb even if the patient is not ambulatory?
Which artery feeds two angiosomes according to the text?
Which artery feeds two angiosomes according to the text?
In limb salvage procedures, what is crucial for long-term success, as highlighted in the text?
In limb salvage procedures, what is crucial for long-term success, as highlighted in the text?
Which ASA Physical Status classification is assigned to patients who are not expected to survive surgery or the perioperative period?
Which ASA Physical Status classification is assigned to patients who are not expected to survive surgery or the perioperative period?
A patient with a severe, life-threatening systemic disease, such as multiple organ dysfunction syndrome, would be classified as which ASA Physical Status?
A patient with a severe, life-threatening systemic disease, such as multiple organ dysfunction syndrome, would be classified as which ASA Physical Status?
According to the ASA Physical Status classification, which class would a patient with well-controlled type 2 diabetes mellitus be assigned to?
According to the ASA Physical Status classification, which class would a patient with well-controlled type 2 diabetes mellitus be assigned to?
Which ASA Physical Status classification is used for a normal, healthy patient?
Which ASA Physical Status classification is used for a normal, healthy patient?
According to the ASA Physical Status classification, which class describes patients who are more seriously ill with unstable medical problems and likely need close medical supervision in the perioperative period?
According to the ASA Physical Status classification, which class describes patients who are more seriously ill with unstable medical problems and likely need close medical supervision in the perioperative period?
A patient with a severe, incapacitating systemic disease that is a constant threat to life, such as advanced cardiac disease, would be classified as which ASA Physical Status?
A patient with a severe, incapacitating systemic disease that is a constant threat to life, such as advanced cardiac disease, would be classified as which ASA Physical Status?
Which of the following medical conditions would warrant classification as ASA Physical Status IV according to the information provided?
Which of the following medical conditions would warrant classification as ASA Physical Status IV according to the information provided?
Which of the following statements best represents the relationship between bleeding during surgery and wound healing outcomes?
Which of the following statements best represents the relationship between bleeding during surgery and wound healing outcomes?
Which of the following techniques is described as an 'emerging technology' for vascular assessment in the context of determining amputation levels?
Which of the following techniques is described as an 'emerging technology' for vascular assessment in the context of determining amputation levels?
Based on the information provided, which of the following statements accurately describes the timing of definitive amputation procedures after vascular interventions?
Based on the information provided, which of the following statements accurately describes the timing of definitive amputation procedures after vascular interventions?
Which of the following statements accurately describes the concept of angiosomes as mentioned in the text?
Which of the following statements accurately describes the concept of angiosomes as mentioned in the text?
According to the ASA Physical Status classification mentioned in the text, which class would be assigned to a patient with a severe systemic disease that is not a constant threat to life?
According to the ASA Physical Status classification mentioned in the text, which class would be assigned to a patient with a severe systemic disease that is not a constant threat to life?
Flashcards
Gangrene
Gangrene
A condition where the tissues are not getting enough oxygen and nutrients, leading to death of the affected area. This often occurs in cases of diabetes or poor circulation.
Amputation
Amputation
The procedure of removing a limb or a part of a limb, typically due to severe injury, infection, or lack of blood supply.
Limb Salvage
Limb Salvage
The process of attempting to save a limb instead of amputating it, often performed in cases of serious injuries or infections.
Ambulatory Status
Ambulatory Status
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Debridement
Debridement
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Blood Supply
Blood Supply
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Blood Loss
Blood Loss
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Blood Units
Blood Units
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Angiosome
Angiosome
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Angiosome Zone
Angiosome Zone
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Dorsalis Pedis Artery
Dorsalis Pedis Artery
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Medial Plantar Artery
Medial Plantar Artery
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Posterior Tibial Artery
Posterior Tibial Artery
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Ray Resection
Ray Resection
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Transmetatarsal Amputation
Transmetatarsal Amputation
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Charcot Deformity
Charcot Deformity
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Verruca
Verruca
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Osteomyelitis
Osteomyelitis
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Diabetic Neuropathy
Diabetic Neuropathy
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Calcanectomy
Calcanectomy
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Arthrodesis
Arthrodesis
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Calcaneotibial Arthrodesis
Calcaneotibial Arthrodesis
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Equinus Deformity
Equinus Deformity
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Soft Tissue Envelope
Soft Tissue Envelope
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LisFranc's Disarticulation
LisFranc's Disarticulation
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Gastrocnemius Recession
Gastrocnemius Recession
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Spy Technology
Spy Technology
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Ankle and Subtalar Joint Fusion
Ankle and Subtalar Joint Fusion
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ASA Physical Status
ASA Physical Status
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