Which complication of amputation may result in the need for revision surgery?
Phantom limb sensation
Skin breakdown and pressure ulcers
Infection at the surgical site
Non-healing surgical wound
The Correct Answer is D
A non-healing surgical wound is a significant complication of amputation that may require revision surgery. Revision surgery involves re-intervention on the surgical site to address wound healing issues and promote better outcomes.
a. Phantom limb sensation: Phantom limb sensation is a common experience after amputation but does not typically require revision surgery. It is a neurological phenomenon related to the brain's perception of the missing limb.
b. Skin breakdown and pressure ulcers: Skin breakdown and pressure ulcers can occur around the residual limb due to pressure and friction from the prosthetic device. While they require attention and management, they may not always necessitate revision surgery.
c. Infection at the surgical site: Infection at the surgical site is a serious complication, but it is typically managed with appropriate antimicrobial therapy and wound care. In some cases, infection may lead to revision surgery, but it is not an automatic indication.
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Related Questions
Correct Answer is B
Explanation
Transmetatarsal amputation involves the surgical removal of the forefoot and toes while preserving the heel and ankle joint. It is commonly used for below-the-knee amputations, specifically for conditions that affect the toes and forefoot but spare the ankle joint.
a. Hip disarticulation: Hip disarticulation is a higher-level amputation that involves the removal of the entire lower limb at the hip joint. It is not commonly used for below-the-knee amputations.
c. Above-the-knee amputation: Above-the-knee amputation involves the removal of the entire lower limb above the knee joint. It is not used for below-the-knee amputations.
d. Syme amputation: Syme amputation involves the removal of the foot at the ankle joint while preserving the heel pad. It is used for specific conditions affecting the foot and ankle joint but is not a common choice for below-the-knee amputations.
Correct Answer is A
Explanation
Administering pre-operative antibiotics is essential to prevent post-operative infection in a patient undergoing amputation. Prophylactic antibiotics are often given before the surgical procedure to reduce the risk of infection at the surgical site and promote successful wound healing.
b. Providing pre-operative analgesia: Providing pre-operative analgesia is important for pain management, but it is not directly related to preventing post-operative infection.
c. Ensuring proper patient positioning: Ensuring proper patient positioning is crucial for the surgical procedure's success and patient safety, but it is not directly related to preventing post-operative infection.
d. Educating the patient about post-operative exercises: Patient education about post-operative exercises is important for rehabilitation, but it does not directly prevent post-operative infection. Proper wound care and infection prevention protocols are more relevant to reducing the risk of infection.
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