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Prosthetics & Orthotics Guide | COMPLETE QUESTIONS WITH 100% RATED CORRECT ANSWERS | GRADED A+ | 2025

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Prosthetics & Orthotics Guide | COMPLETE QUESTIONS WITH 100% RATED CORRECT ANSWERS | GRADED A+ | 2025

Institution
Prosthetics & Orthotics
Course
Prosthetics & Orthotics

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3/29/25, 10:55 AM Prosthetics & Orthotics Flashcards | Quizlet



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*#1: vascular disease* (DM & PAOD) severely increases mortality risk post-
amputation
(PAOD and not DM is possible; DM usually involves PAOD)
-Infections
Etiology of amputations
-Trauma
-Cancer (better today than it used to be; they now remove the whole bone)
-Congenital
STATS: 1.5 amputations per 1000 ppl —> prevalent!

amputate distal to MT heads
no prosthetic
Toe Amputation
ORTHOTIC?: shoe w/filler for that dead space; prevents drifting of
foot/malalignment

prox. to MT heads, through shafts
suture line doesn't heal very well w/vascular involvement
ORTHOTIC:
-shoe w/filler for that dead space; prevents drifting of foot/malalignment
Transmetatarsal ("partial foot" amputation)
-shoe w/rocker bottom: b/c they've lost MTP jts, for good heel-toe gait
-shoes w/lift to allow heel-to-ground contact


ROM: maintain DF ROM! Pts often have PF contracture

-myodesis (where they suture the muscle/tendon to the remaining limb/bone)
Surgical options for TMT Amputation -myoplasty (suture to other soft tissue)
or the surgeon lets the muscles retract

Bone shaving / bv ligation / nerve retraction




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, 3/29/25, 10:55 AM Prosthetics & Orthotics Flashcards | Quizlet

Disarticulation of mid-foot between tarsal and
metatarsal bones
ORTHOTIC: shoe w/rocker, filler & cushy heel
Lisfranc Amputation for shock-absorption (still no prosthetics)
ISSUE: Disruption of fibularis brevis onto the
base of the 5th metatarsal leads to varus
deformity

C - calcaneus, T - talus
Disarticulation of talonavicular and
calcaneocuboid joints.
ORTHOTIC: shoe w/rocker, filler & cushy heel
Chopart Amputation for shock-absorption (still no prosthetics)
ISSUE: Commonly complicated by equinovarus
foot deformity
- Results from unopposed tendon action
- Fix is Achilles' tendon lengthening

done through the ankle joint. The foot is
removed but the heel pad is saved so patient
can bear weight.
Syme Amputation PROSTHETIC: 1st prosthetic: SACH foot is most
common (solid ankle cushy heel)
cushy heel creates the PF of the foot
flexible material in forefoot allowing roll-over

amputation at the level of the ankle with
preservation of the calcaneus and heel pad and
consequent fixation of the calcaneus to the
Boyd Amputation tibia.
Allows for complete weight bearing and
provides both stabilization of the heel pad and
suspension for a prosthesis.

Below knee amputation (BKA)
SURGERY:
-Never amp. into lower ¼ of leg (not enough
Transtibial Amputation (surgery) soft tissue to protect stump —> lots of skin
issues)
-Residual gastroc heads, wrapped around,
sutured anteriorly

maintain mobility at and around suture line (mobilize ON suture line once it's
healed)
Initial PT for Transtibial Amputation
ROM to prevent knee flexion contracture: pain will lead pt to stay in flexion,
promote extension!




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