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Questions and Answers
What is the definition of a forequarter (scapulothoracic) amputation?
What is the definition of a forequarter (scapulothoracic) amputation?
- Surgical removal of the lower arm and hand through the elbow joint
- Surgical removal of one half of the pelvis and the lower extremity
- Surgical removal of the upper extremity through the shoulder
- Surgical removal of the upper extremity including the shoulder girdle (correct)
What does shoulder disarticulation refer to?
What does shoulder disarticulation refer to?
Surgical removal of the upper extremity through the shoulder
What is transhumeral amputation?
What is transhumeral amputation?
Surgical removal of the upper extremity proximal to the elbow joint
Define elbow disarticulation.
Define elbow disarticulation.
What is a ray section amputation?
What is a ray section amputation?
What does transradial refer to?
What does transradial refer to?
What occurs during wrist disarticulation?
What occurs during wrist disarticulation?
Define digital amputation.
Define digital amputation.
What does hemicorporectomy involve?
What does hemicorporectomy involve?
What is the meaning of hemipelvectomy?
What is the meaning of hemipelvectomy?
What occurs in a hip disarticulation?
What occurs in a hip disarticulation?
Define transfemoral amputation.
Define transfemoral amputation.
What is knee disarticulation?
What is knee disarticulation?
What is the definition of transtibial amputation?
What is the definition of transtibial amputation?
What does Syme's amputation entail?
What does Syme's amputation entail?
What does transverse tarsal or Chopart's amputation preserve?
What does transverse tarsal or Chopart's amputation preserve?
Define tarsometatarsal or Lisfranc amputation.
Define tarsometatarsal or Lisfranc amputation.
What is meant by a long transtibial amputation?
What is meant by a long transtibial amputation?
What does short transtibial amputation denote?
What does short transtibial amputation denote?
What is a transradial socket?
What is a transradial socket?
Match the following terms with their definitions:
Match the following terms with their definitions:
What does transhumeral socket entail?
What does transhumeral socket entail?
What is the function of transfemoral suspension?
What is the function of transfemoral suspension?
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Study Notes
Amputation Types
- Forequarter (Scapulothoracic): Removal of upper extremity including shoulder girdle.
- Shoulder Disarticulation: Removal of the upper extremity through the shoulder.
- Transhumeral: Removal of upper extremity proximal to elbow joint.
- Elbow Disarticulation: Removal of lower arm and hand through the elbow joint.
- Ray Section Amputation: Removal of a toe and part of corresponding metatarsals; first ray removal is particularly challenging.
- Transradial: Removal of upper extremity distal to elbow joint.
- Wrist Disarticulation: Removal of the hand through the wrist joint.
- Digital Amputation: Removal of a digit at metacarpophalangeal, proximal interphalangeal, or distal interphalangeal level.
- Hemicorporectomy: Removal of pelvis and both lower extremities.
- Hemipelvectomy: Removal of one half of the pelvis and lower extremity.
- Hip Disarticulation: Removal of lower extremity from the pelvis.
- Transfemoral: Removal of lower extremity above the knee joint.
- Knee Disarticulation: Removal of lower extremity through the knee joint.
- Transtibial: Removal of lower extremity below the knee joint.
- Syme's Amputation: Removal of the foot at the ankle joint, including malleoli.
- Transverse Tarsal (Chopart's): Amputation through talonavicular and calcaneocuboid joints; preserves plantarflexors, sacrifices dorsiflexors, often causing equinus contractures.
- Tarsometatarsal (Lisfranc): Surgical removal of metatarsals; preserves dorsiflexors and plantarflexors.
- Long Transtibial: Removal of distal third of tibia below the knee.
- Short Transtibial: Removal of limb at proximal third of tibia.
Prosthetic Components
- Transradial Socket: Covers two-thirds of forearm; may be shortened for increased pronation/supination.
- Transradial Suspension: Includes a triceps cuff, harness, and cable system.
- Transradial Elbow Unit: Attaches to triceps cuff or upper arm pad; connected with flexible or rigid hinge.
- Transradial Wrist Unit: Quick change unit; includes wrist flexion unit, ball and socket, and constant friction.
- Transradial Terminal Device: Includes voluntary opening/closing; can be body-powered, externally powered, myoelectric, or hybrid; options include hook, mechanical hand, cosmetic glove.
- Transhumeral Socket: Standard design extends to acromion level; modified for greater rotational stability; lightweight friction units available for passive prosthetic arms.
- Transhumeral Suspension: Utilizes harness, cable system, and suction.
- Transhumeral Elbow Unit: Comes in internal or external locking mechanisms.
- Transhumeral Wrist Unit: Quick change unit with wrist flexion unit, ball and socket, and constant friction.
- Transhumeral Terminal Device: Features voluntary opening/closing; options include body-powered, externally powered, myoelectric, or hybrid.
- Transfemoral Socket: Includes quadrilateral socket and ischial containment socket.
- Transfemoral Suspension: Includes laynard strap, shuttle lock, suction (seal in liner), partial suction, and vacuum systems.
- Transfemoral Knee: Varieties include single axis, polycentric, hydraulic, and microprocessor knee.
- Transfemoral Shank: Comes in exoskeleton (rigid exterior) and endoskeleton (pylon with foam cover).
- Transfemoral Foot System: Features solid ankle cushion heel.
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