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prosthetic limb

Indications: - limb amputation Contraindications: - inadequate cardiovascular reserve - inadequate healing - inadequate range of motion - inadequate muscle strength - inadequate motor control - inadequate cognitive function Management: 1) 6-10 weeks prior to fitting 2) requires less energy than swing-through crutch- assisted walking 3) below knee amputation (BKA) a) 33% increase in energy consumption with ambulation over baseline b) knee contractures of > 25% do not allow ambulation 3) above knee amputation (AKA) -> 87% increase in energy consumption with ambulation over baseline 4) lightweight prosthesis (titanium) recommended for geriatric population 5) pre-prosthetic training a) range of motion exercises b) proper positioning to prevent contracture c) muscle strengthening d) skin care e) wheel chair mobility f) transfers g) self care h) ambulation with assistive devices if able i) patient/family education regarding care of residual limb Notes: -reinnervated skin may allow prosthetic limb users to 'feel' with a prosthetic limb [4]

Related

infected prosthesis orthotics

Specific

bionic limb

General

prosthesis

References

  1. Medical Knowledge Self Assessment Program (MKSAP) 11, 14, American College of Physicians, Philadelphia 1998
  2. Genova A. In: Intensive Course in Geriatric Medicine & Board Review, Marina Del Ray, CA, Sept 12-15, 2001
  3. Stedman's Medical Dictionary 27th ed, Williams & Wilkins, Baltimore, 1999
  4. Marasco PD et al. Sensory capacity of reinnervated skin after redirection of amputated upper limb nerves to the chest. Brain 2009 Jun; 132:1441. PMID: 19369486