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Amputation

Amputation is a surgical procedure that involves the removal of a limb or part of a limb, often due to injuries, infections, or diseases. There are different types of amputation, including guillotine and closed, and various complications can arise, such as infection and phantom sensation. Special considerations are necessary for amputations in children, including frequent prosthesis adjustments and a preference for disarticulation.

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11 views21 pages

Amputation

Amputation is a surgical procedure that involves the removal of a limb or part of a limb, often due to injuries, infections, or diseases. There are different types of amputation, including guillotine and closed, and various complications can arise, such as infection and phantom sensation. Special considerations are necessary for amputations in children, including frequent prosthesis adjustments and a preference for disarticulation.

Uploaded by

nishibby
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PPTX, PDF, TXT or read online on Scribd
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AMPUTATION

Definition

 Procedure by which part of limb is


removed through one or more bones

 Disarticulation : is procedure where


part is removed through joint.
Cause

 Farm injuries

 Road traffic
accidents
Indications for
amputation
 Injury
 Peripheral vascular diseases
 Infections
 Tumours
 Nerve injuries
 Congenital anomalies
Types of amputation

Guillotine or open Closed


Fate of a guillotine
stump
 Secondary closure

 Plastic repair

 Revision of stump

 Re amputation
Surgical principles

 Torniquet :
exception ischemic
limb
 Exsanguination
except malignancy
and infection
Level of amputation

 Type of disease
 Anatomical principles
 Suitability for efficient functioning of
prosthesis
Skin flap
Muscles

Myoplasty Myodesis
Order of dissection

 Nerve

 Major vessels

 Bone

 Drain
Dressing

Soft dressing Rigid dressing


Positioning
Stump exercises wrapping
Prosthetic fitting gait
training
Levels of amputation
Krukenberg amputation
Foot and ankle
Complication

 Haematoma
 Infection
 Flap necrosis
 Deformities of joint
 Neuroma
 Phantom sensation
Amputations in children

 Disarticulation preferred

 Re visions required if amputation


done

 Frequent change of prosthesis

 Children tolerate artificial limbs


better
Thank you

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