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Incidence And Causes Case Study

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Incidence and Causes There were 1.6 million amputees in the U.S. in 2005, which is expected to double and rise to over 3 million by 2050 (Koopmann, 2011). Peripheral vascular disease, severe infections (often due to diabetes), and trauma are the most common indicators for limb amputation (Koopmann, 2011; Keenan & Glover, 2012). Loss of one lower limb is more common than upper limb loss or multiple limb amputation. Up until the age of fifteen, incidence of amputation is constant, but between the ages of 21 to 64, incidence gradually increases due to work related injury and driving accidents (Keenan & Glover, 2012). Primary amputation is considered when there are no other treatment options for an injured or diseased limb and causes may …show more content…

Burgess, MD, PhD was a pioneer in the amputation field, developing techniques for surgery, the important Immediate Post-Op Prostheses (IPOP) process, and several prosthetic feet (Koopmann, 2011). Historically, level of amputation was referred to in reference to the knee or elbow joint as AE/BE (above elbow or below elbow) or AK/BL (above knee or below knee), and those terms may still be heard today. To more accurately reflect anatomical position, current nomenclature specifically notes where and how the amputation has been performed. In the leg (moving proximally from toe to hip) levels of amputation are names: transtibial, kneedisarticulation, transfemoral, hip disarticulation, hemi-pelvectomy, hemi-corporectomy (Mooney, 2017). In the arm (moving proximally from finger to shoulder): transmetacarpal, wrist disarticulation, transradial (long or short), elbow disarticulation, trans humeral (long or short) shoulder disarticulation, interscapular thoracic (Keenan & Glover, 2012). Functional loss increases the higher the level of amputation. Therefore, the higher the amputation the more training and more complex prosthesis is required to restore function. Transitioning to Prosthetics There are a number of factors post surgery that impact the outcomes for an amputee who will use a prosthetic. Edema or swelling in the residual limb calls for compression to start as soon as possible after surgery to prepare the limb for prosthetic fitting 6-8 weeks after operation (Mooney,

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