Podcast
Questions and Answers
What is the main cause of amputation contractures?
What is the main cause of amputation contractures?
- Shortening of soft tissue closest to the point of amputation (correct)
- Weakening of the bone structure
- Tightening of muscles around the joint
- Nerve damage in the affected limb
What is the most common malignant bone tumor in children and young adults?
What is the most common malignant bone tumor in children and young adults?
- Osteoclastoma
- Metastatic Bone Lesions
- Ewing's Sarcoma
- Osteosarcoma (correct)
What is the typical age range for Osteoclastoma to occur?
What is the typical age range for Osteoclastoma to occur?
- 20-35 years old (correct)
- 15-25 years old
- 40-50 years old
- 30-45 years old
What is the typical location of Ewing's Sarcoma?
What is the typical location of Ewing's Sarcoma?
What is the most common type of malignant bone tumor?
What is the most common type of malignant bone tumor?
What is the main indication for amputation in Osteosarcoma treatment?
What is the main indication for amputation in Osteosarcoma treatment?
What is the typical symptom of Metastatic Bone Lesions?
What is the typical symptom of Metastatic Bone Lesions?
What is the typical treatment approach for Ewing's Sarcoma?
What is the typical treatment approach for Ewing's Sarcoma?
What is the most common indication for amputation?
What is the most common indication for amputation?
Which of the following is not a common indication for amputation?
Which of the following is not a common indication for amputation?
What is Buerger's disease caused by?
What is Buerger's disease caused by?
What is a common complication of gangrene?
What is a common complication of gangrene?
Which of the following is a congenital disorder that may require amputation?
Which of the following is a congenital disorder that may require amputation?
What is a common indication for amputation in patients with cancer?
What is a common indication for amputation in patients with cancer?
Which of the following is not a common cause of amputation?
Which of the following is not a common cause of amputation?
What is a common complication of amputation?
What is a common complication of amputation?
What type of disorder is an indication for an amputation?
What type of disorder is an indication for an amputation?
What is the term for the remaining portion of the amputated limb?
What is the term for the remaining portion of the amputated limb?
What is the abbreviation for the type of amputation where the leg is amputated above the knee?
What is the abbreviation for the type of amputation where the leg is amputated above the knee?
Why might an amputation be performed?
Why might an amputation be performed?
What is the term for the amputation of the leg below the knee?
What is the term for the amputation of the leg below the knee?
What is the purpose of amputation in the context of infection?
What is the purpose of amputation in the context of infection?
What is the complication associated with amputation?
What is the complication associated with amputation?
What is the type of amputation that involves the removal of part of an extremity?
What is the type of amputation that involves the removal of part of an extremity?
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Study Notes
Antibiotic Bead Chain Implants
- Antibiotics are applied to bone cement and covered with an artificial skin graft to achieve high local dosages, creating a sterile wound.
Removal of Implant or Prosthesis
- Removing an implant or prosthesis is an option to treat infection.
Treatment Options
- Antibiotics can be administered through irrigation or a PICC line for strong antibiotics.
- Hyperbaric O2 chamber increases oxygen to tissue.
- Amputation may be necessary if infection does not respond to antibiotics.
Nursing Care
- Sterile dressings with normal saline are used, and wet-to-dry dressings are applied.
- Heat application and exercise are avoided to prevent spreading the infection.
- Good body alignment and frequent position changes are important.
- Psychologic support is necessary as wound healing may take a long time.
Prevention
- Prophylactic antibiotics are given to patients with implanted prosthetic devices before invasive procedures, including dental work.
Complications
- Pathologic fractures and deformity can occur.
Amputation
Terms and Types
- Stump: the remaining portion of the amputated limb.
- BKA (Below the Knee Amputation): amputation of the leg below the knee.
- AKA (Above the Knee Amputation): amputation of the leg above the knee.
Indications for Amputation
- Poor blood circulation (PVD)
- Gangrene
- Traumatic or thermal injury
- Malignant tumors
- Uncontrolled, widespread infection
- Congenital disorders
Diagnostic Studies
- WBC count
- Arteriography
- Doppler (to assess circulation and detect tumors, injuries, etc.)
Nursing Care for Amputation
- Assess preexisting illnesses
- Preop teaching: explain reasons for surgery, postop expectations, phantom pain, and rehabilitation
- Postop care: vital signs, dressings, sterile technique
- Rehabilitation: safety, compression bandage, transfers, crutch walking, and prosthesis fitting
Complications of Amputation
- Hemorrhage
- Infection
- Amputation contractures
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