Amputation Types - DPT 771 - Fall 2021 PDF
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2021
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Summary
This document provides an overview of amputation types, covering indications, historical perspectives, epidemiology, and distribution of lower extremity amputations. It references data in the United States regarding incidence of amputations. The document is from a DPT (Doctorate in Physical Therapy) program, Fall 2021.
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DPT 771 Amputation Types DPT 771 O&P Fall 2021 Amputation Amputation is the complete removal of an injured or deformed body part Indications for Amputation 1. Peripheral vascular disease ◦ Peripheral Arterial occlusive disease ◦ Acute occlusio...
DPT 771 Amputation Types DPT 771 O&P Fall 2021 Amputation Amputation is the complete removal of an injured or deformed body part Indications for Amputation 1. Peripheral vascular disease ◦ Peripheral Arterial occlusive disease ◦ Acute occlusion due to embolism ◦ Aneurysm 2. Diabetic limb disease 3. Necrotising fasciitis 4. Trauma (severe tissue damage) - traumatic amputation, frostbite 5. Infection (chronic disabling infection, Gas Gangrene, Severe frostbite) 6. Tumors (Malignant) 7. Nerve injury (trophic ulceration – insensitive limb) 8. Congenital anomalies ◦ extra digits ◦ Focal limb deficiency/hypoplasia or Gross deformity (dysmelia) Lower Extremity Amputations Historical Perspectives Oldest operation in recorded history Cornerstone of modern surgery Reconstructive procedure!!! Transfer function to remaining portions of limb Construct a new end organ: a prosthesis Who Get’s Amputations African American’s 4:1 The amputation incidence was found to be higher in men compared to women in all etiologic subgroups except malignant tumor. Vascular Disease: Among those living with limb loss, the main causes are vascular disease (54%) – including diabetes and peripheral arterial disease trauma (45%) cancer (less than 2%) Epidemiology of Amputations 2 million people living with limb loss in the United States 185,000 individuals are admitted annually to hospitals to undergo amputations secondary to PVD or DM. 1.35 amputations/ 1,000 people 9 males : 1 female ratio 80% for vascular disease 25% dead at one year, 50% of those with PVD 25% loss of contralateral limb at 5 years, Of persons with diabetes who have a lower extremity amputation, up to 55% will require amputation of the second leg within 2‐3 years 67% dead at five years Distribution of Lower Extremity Amputations The most common were toe (33.2%), transtibial (28.2%), transfemoral (26.1%), and foot amputations (10.6%) Syme’s 3% Transtibial 59% Knee Disarticulation 1% Transfemoral 35% Hip Disarticulation 2% Hemipelvectomy
