PHTY306 Lecture Notes - Lecture 1: Hemipelvectomy, Hip, Physical Therapy
Document Summary
Aims of amputation: removal of painful, infected or gangrenous limb, amputate at level which allows maximal rehabilitation opportunity, amputate at the level which allows the best change of primary headlining, optimal stump. Levels of lower limb amputation: transpelvic (hindquarter, hemipelvectomy, hip disarticulation, transfemoral (above knee, transtibial (below the knee, ankle disarticulation (symes, partial foot, mid tarsal (chopart, tarso-metatarsal (lisfranc, transmetatarsal, ray, digit. Physical impairments: limb shortening, weight transmission, muscle loss, muscle imbalance, loss of joints, loss of sensation, changed base of support, changed circulation. Activity limitations: adls, sitting / standing balance, bed mobility, transfers, mobility / walking use of aids, distance, speed, different surfaces. Participation restriction: family role / relationships, hobbies. Metabolic cost: ankle disarticulation 15% increased metabolic cost, traumatic tt 25% increased metabolic cost, traumatic tf 68% increased metabolic cost, vascular tt 40% increased metabolic cost, vascular tf 100% increased metabolic cost.
