Below Knee Amputation Essay

Erin Reuben is a 26-year-old female that just finished her degree in teaching. She is a newlywed and on her honeymoon, she and her husband went horseback riding. She fell off the horse and the horse stepped on her right leg. The trauma was so severe that they could not save the leg and that she was amputated roughly 10cm above the knee.

I met Mr. Eigner at the office of Dr. Taha. Mr. Eigner reports he is not taking any pain medications at this time. He reports he has a jolting shooting pain to the right and left legs only occasionally. He denied any pain to his right forearm. X-rays taken showed good alignment and healing of the fracture. The incisions are all healed except for a couple small spots on the right ankle. There is some swelling to the right ankle which Dr. Taha said is to be expected. The range of motion to the left ankle and toes was good. The range of motion to the right stores was limited. Dr. Taha said there is scar tissue at times from this type of repair and he would like physical therapy to start working on that. He is still going to be non-weight bearing for another 6 to 8 weeks on the right leg. He is now allowed full weight bearing as tolerated to the left leg. Dr. Taha ordered a rolling scooter to aid with ambulation and stop using the wheelchair. I have contacted Reverence physical therapy and faxed the new orders so the service can begin. I will process the rolled scooter with directions from the adjuster. The attendant care and replacement services will continue through to the next appointment.

In the case of Darling verse the Charleston Community Memorial Hospital, Darling presented to the hospital’s emergency department with a broken leg. The hospital treated Darling’s leg with a cast and he was sent home to heel. The attending physician had put Darling’s cast on too tight and the circulation of his bottom leg was cut off. Because of this a portion of his leg had to be amputated.

During the operation, the patient was put under general anaesthesia and positioned laterally (George et al., 2008). For a lesion in the proximal region of the right femur, the patient initially lying supine was turned to the left lateral position, so that the right lateral side of the patient faced up; this position allowed for a greater view of the lesion area during surgery (Chen et al., 2013). The patient was draped while exposing the intended surgical region between the pelvis and the proximal upper leg (George et al., 2008). The epidermis, dermis, and subcutaneous layers in the region of the lesion were cut away, exposing the deeper tissue layers (Chen et al., 2013). Incisions continued through the deep fascia, exposing the gluteus medius, gluteus minimus, and vastus lateralis muscles (Chen et al., 2013). The right gluteus medius and minimus, lateral abductor muscles of the right thigh, and the right vastus lateralis muscle were cut away while their insertions remained intact (Chen et al., 2013). The surgeon made a lateral incision from a region inferior to the right anterior superior iliac spine toward the right gluteus medius muscle, until the greater trochanter was exposed (Chen et al., 2013). It should be noted that there are vascular structures present within the vicinity of the lesion, such as the medial and lateral femoral circumflexes; great care was taken to avoid such structures to minimize blood loss (Drake et al.,

The A.C.L is also known as the anterior cruciate ligament and is a cruciate ligament. Which is one of the four major ligaments of the human knee. The four types of ligaments are the anterior cruciate ligament (A.C.L), medial collateral ligament (M.C.L), lateral collateral ligament (L.C.L), and the posterior cruciate ligament (P.C.L). The A.C.L ligament is a very important stabilizer of the femur on the tibia and is used to stop the tibia from rotating forward during agility, jumping, and deceleration activities. An A.C.L injury is the most common sports injury. Ligaments are tough, non-stretchable fibers that hold the bones together. Damage to cruciate ligaments, which crossover the knee to give it stability. The A.C.L tear occurs from

The procedure always spoke to me as an embodiment of the human spirit. ‘ If we cannot fix it one way, we will do it another; If we cannot mend the brain, we will correct the feet.’ Ever since my operation, I have used this same outlook to overcome all the handicaps. When I came home from the procedure, I had both legs in soft-wrapped splints. I was to be non-weight bearing and to keep still. The recovery period was frustrating for me and absolutely maddening for my mother. I had no interest in being immobile. So within days of coming home in the splints, I had to be brought back to the hospital. I had snapped the splints in to by trying to crawl. Afterwards, I was put into hard castings and I was more cautious. Once out of my castings, I had to endure a year or more of physical therapy, because I had to learn how to walk again. To this day, I refuse to let my disability stunt my potential. I have tried at every available opportunity to challenge myself, to keep on fighting, and to invent ways around my

The Musculoskeletal diagnosis for this case study is a Right Above Elbow amputation. An Above Elbow amputation is an amputation “from the supracondylar region to the axillary fold”(www.orthrofrocs.com). An individual loosing an arm will be faced with many challenges, more so with loosing it above the elbow. The ability to preserve the length of the limb “allows for better movement, and enhances the fit of the prosthesis”(emedicine.medscape.com). The more proximal the amputation the less functional the stump will be. This amputation will cause the loss of the hand, wrist elbow, but good shoulder function will continue( Deverix, Papdapoulos, p.656). The most common cause of an amputation above the elbow is Trauma(Ganz, Gulick, Smurr , & Yancoseck).

This assessment was performed on a widowed 67 year old Caucasian male who lives alone. The patients name is Sean, and he has a diagnosis of above-knee amputation to his left limb, which was secondary to diabetes mellitus. Sean also suffers from a stage II sacral decubitus ulcer. Eleven weeks ago he had an above-knee amputation to L LE due to lack of self-care.

An inspection was conducted at Eastham Forge, Inc. shop located at 1050 Neches St, Beaumont, TX – 77701 to address am amputation.

Problems with blood circulation, injuries from traffic collusion to military combat, cancer, and birth defects are all reasons why someone may lose a limb. Typically, after a person loses a limb they lose mobility and they can’t do many things by themselves. According the amputee coalition 95 percent of all amputees have a prosthesis. Out of the 95 percent ten percent of them say they do not wear it on a constant basis, 75 percent of them indicated that it was easier to do daily task without the device. What are these devices? There are two main subsets of prosthesis including prosthesis that replaces the limb and then there is cosmesis prosthesis that are just for cosmetic that do not have any function. The main idea of a prosthetic is that

Conclusions: There is a significant correlation between sagittal plane knee and frontal plane hip moment during SLL in both limbs. Increased quadriceps strength and increased knee moment was associated with less hip drop during landing. Moreover, the quadriceps strength asymmetry in this population further amplified this relationship on the surgical side. The increased hip drop indicates that the participants’ involved side was not fully recovered post-surgery. Limitations: As a prospective study, it is possible the participants had deficits prior to

Prognosis for lower limb amputation rehabilitation program, Summary Research by Judith Treby and Eleanor Main, (2007) Children who get a chance to be treated by physical therapy program including bed exercises, transfer practice, mobility (of any form, including wheelchair), upper limb exercises, and stretching, show improvements in their functions and increasing their chances toward a better adult life. Improvement in younger children upper limb amputation with prosthesis more than lower. The PT prognosis for a child with traumatic amputation depends on the age and the severity of amputation. Prognosis in younger children with PFFD shows improvement in the development of a higher level of gross motor skills after 6 months of physical therapy

developing OA in the knee compared to that of the average population. It is however possible that the difference between the peak EKAMs between the sound and amputated limb may be a contributing factor as greater asymmetries between the legs have been shown to result in greater loading rates of the joints (Lloyd et al., 2010)

The objective of this research is to determine whether physical therapy and specific surgical approach will affect the recovery period among the patients who underwent the total hip replacement. The results which describe hip mobility and function after the surgery, as well as overall patients’ satisfaction, are compared between various randomized and non-randomized studies, usually with the presence of experimental and control groups. Major common outcomes reported were pain, muscle strength, mobility, range of motion, and gait limitations. Based on these criteria it was determined that post-operative physical therapy exercise program significantly increases the time of recovery and improves the results of the surgery compared with patients receiving usual care. At present time, no study showed enough evidence to prove absolute advantage of anterior approach over the posterior as improvements were observed in both cases. This research contains important information that can be useful for patients awaiting total hip replacement.

In the United States there are “1.7 million people living with limb loss (NLLIC, 2008, p.1). According to the CDC, “each year about 1,500 babies in the united states are born with upper limb reductions (CDC, 2014, p.1).” As systemic diseases continue to increase, so are the chances of people having upper limb amputations. Some of the common systemic diseases that can cause upper limb amputations are diseases of the vascular system, diabetes, and cancer (NLLIC, 2008, p.1). Other common causes are infections, burns, and accidents (Capital Health, n.d., p.1).