Classification of amputation care
What are the classifications of amputation?
Lower limb amputations can be divided into two broad categories: minor and major amputations. Minor amputations generally refer to the amputation of digits. Major amputations are commonly below-knee- or above-knee amputations. Common partial foot amputations include the Chopart, Lisfranc, and ray amputations.
What are 3 types of amputation?
Arm amputation. Hand amputation. Finger amputation. Foot amputation, removing part of the foot.
What are the four steps in caring for an amputated body part?
Care for the completely amputated body part
Gently rinse off dirt and debris with clean water, if possible. Do not scrub. Wrap the amputated part in a dry, sterile gauze or clean cloth. Put the wrapped part in a plastic bag or waterproof container.
How do you care for an amputated patient?
Assess the surgical dressing for integrity and drainage. Elevate the stump for the first 24 to 48 hours. Move and turn the patient gently and slowly to prevent severe muscle spasms. Reposition the patient every 2 hours, turning the patient from side to side and prone, if possible.
What are the principles of amputation?
The primary goals of post-surgical amputation management include prompt, uncomplicated wound healing, control of edema, control of postoperative pain, prevention of joint contractures and rapid rehabilitation to optimum levels of activity.
What is the most common type of amputation?
Below-Knee Amputation
The BKA is the most common type of amputation performed, and the risk of serious post-operative complications in a BKA is far less than in a transfemoral amputation. In a BKA, the knee-joint is spared, and walking with a prosthesis is typically more successful.
What are the four types of prosthetics?
There are usually four main types to consider: transradial, transfemoral, transtibial, and transhumeral. However, other prosthetics can be used in certain conditions.
What can cause an amputation?
An amputation may be needed if: you have a severe infection in your limb. your limb has been affected by gangrene (often as a result of peripheral arterial disease) there’s serious trauma to your limb, such as a crush or blast wound.
What is a Boyd amputation?
The Boyd amputation is a surgical technique used to treat osteomyelitis of the foot. This amputation is a technically more difficult procedure to perform than the Syme amputation, but it offers certain advantages. The Boyd amputation provides a more solid stump because it preserves the function of the plantar heel pad.
Which is the most common type of Upper Extremity amputation?
Finger amputations are the most common of upper limb amputations and mostly involve single digits. Upper limb amputations from trauma occur at a rate of 3.8 individuals per 100,000; finger amputations are the most common (2.8 per 100,000). Hand amputations from trauma occur at a rate of 0.02 per 100,000.
What tool is used for amputation?
A Gigli saw is a flexible wire saw used by surgeons for bone cutting. A Gigli saw is used mainly for amputation, where the bones have to be smoothly cut at the level of amputation.
What is the medical term for amputation?
disarticulation: An amputation of a limb through the joint, without cutting any bone—performed at the hip, knee, ankle, shoulder, elbow and wrist levels. distal: (1) The end of the residual limb. (2) The end that is farthest from the central portion of the body. Distal is the opposite ofproximal.
What infection causes amputation?
Amputation for Severe Infection
Severe sepsis is also called septicemia or blood poisoning. It happens when drug-resistant bacteria overwhelm the body and spread throughout the bloodstream. Sepsis can affect blood flow and cause tissue to die, especially in the toes, fingers, hands and feet.
What is amputation bed in nursing?
AMPUTATION BED. Amputation bed or stump bed, or divided bed which is used by the nurse for the patient after amputation of the lower limb, where it is necessary to keep the stump visible and elevated. Amputation or stump bed is used for the patient, whose leg is amputated. Purposes. To keep the stump in good position.
What happens to blood circulation after amputation?
Radical changes in the anatomical and physiological conditions of the operated extremity occur after amputation. A re- duction in tissue mass occurs whereby the supply area of the blood circulation in the extremity is altered.
What was the most common infection after an amputation?
Amputation stump infection is common and may necessitate re-amputation, potentially exposing a vulnerable patient to further serious complications. Prophylactic antibiotics significantly reduced rates of stump infection in all studies, and were associated with a reduced rate of re-amputation in one [2].
How do you clean a wound after amputation?
Use soap and water on a gauze pad or a clean cloth to wash your wound. Start at one end of the wound and clean it to the other end. Be sure to wash away any drainage or dried blood. Do not scrub the wound hard.
Why do you elevate a stump after amputation?
After surgery, your stump may be elevated on a pillow for the first 24-48 hours to decrease swelling. The foot of your bed may be elevated, but the knee should not be bent. Do not elevate the stump on pillows or keep the foot of your bed up after the first 48 hours postoperatively, unless ordered by your doctor.