Module Group 3
MG3
MG3
Fichier Détails
Cartes-fiches | 343 |
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Langue | English |
Catégorie | Médecine |
Niveau | Université |
Crée / Actualisé | 07.12.2020 / 15.01.2021 |
Lien de web |
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A wrist strap
Acillary crutches have bolts and wingnuts rather than spring loaded push bottuns for adjusting their height.
Allows a user to let go of the handle without the crutch falling.
Gutter crutches; platform crutches
Has a curved base with a rubber grip rather than a single point with a ferrule
A hybrid of the elbow and axillary crutches
Ferrules
The frame is always in contact with the ground when walking
60°; 90°
Solid tyres are effectively maintenance free and cheaper than pneumatic tyres. Pneumatic tyres are easier to negotiate over uneven ground.
Pulpit frames.
Cable, spring-load, kick
The deformation of the sping is directly proportional to the applied load
The difficulties removing the bold to fold the frame and aligning the components when erecting the frame
With higher handless= less stable. Because a smaller horizontal force is required to tip it over since the force will have a greater moment arm.
Removal of a diseased or damaged part of a limb. Reconstruction of a stable, painfree and functional limb.
Achievement of the most distal level for amputation. Obtain a well-healed stump. Be consistent with the causal condition
Peripheral vascular diseaseDiabetesTraumaInfectionTumoursCongenital deficiencysecondary deformites
Aputation for tumours; removal part of the pelvis with the entire leg. Leadds to gross functional limitation
Leads to significant funtional loss. Carried out for tumours and severe infection
Anywhere between knee and hip (best as distal as possible)
End of the stump provides weightbearing qualities and suspension. Preseves the femoral epiphysis (growing children). Cosmesis is poor and fitting a prosthesis can be hard.
Between foot and knee. Most significant and important level in dysvascular patients.
Allows patient to weight bear on the stump and to perform some menial activites without a prosthesis. No good level for patients with peripheral obstructive arterial disease due to poor circulation proximal to the ankle, because of atherosclerosis.
Anywhere in the foot. Critical consideration is the final functional result=a plantigrade, non-sensitive, painfree stump
Preservation of the upper limb as much length as possible. Supination and pronation are mostly lost in trans-radial stumps. Elbow disarticulation=difficulties in prosthetic fitting and only a few advantages over long trans-humeral amputatin.
Partial FootAnkle disarticulationTrans-tibialKnee disarticulationTranks-femoralHip disarticulationsTrans-pelvic
Preservation of the upper limb as much length as possible
Skin conditionJoint contracturesGeneral physical conditionGeneral psychological conditionpersonal factor, for example: age, sex, occupation, hobbies…
With the use of the dopple technique the systolic blood pressure can be evaluated. Thigh pressure measurement seems to have the most useful predictive value. Trans-tibial amputation is worth attempting if the thigh pressure is greater than 70-80 mmHg
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