Which surgical technique involves the removal of a limb at the joint level?
Hip disarticulation
Knee disarticulation
Transfemoral amputation
Transtibial amputation
The Correct Answer is A
Hip disarticulation involves the removal of the entire lower limb at the hip joint. This surgical technique is indicated for severe disease or trauma affecting the entire lower limb, where preservation of the knee joint is not feasible or beneficial.
b. Knee disarticulation: Knee disarticulation involves the removal of the lower limb at the knee joint. It is a different level of amputation compared to hip disarticulation.
c. Transfemoral amputation: Transfemoral amputation is the removal of the lower limb above the knee joint, preserving the femur. It is a different level of amputation compared to hip disarticulation.
d. Transtibial amputation: Transtibial amputation involves the removal of the lower limb below the knee joint, preserving the tibia. It is a different level of amputation compared to hip disarticulation.
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Related Questions
Correct Answer is A
Explanation
Infection at the amputation site is a potential pre-operative complication that may occur before the actual surgery. The presence of infection at the surgical site can increase the risk of post-operative complications, delay the surgery, and affect wound healing. Proper pre-operative assessment and management of infections are crucial to ensure a successful amputation procedure.
b. Post-operative pain management: Post-operative pain management is a consideration after the surgery, not a pre-operative complication. It involves planning for pain relief strategies to provide comfort and promote healing after the amputation.
c. Surgical wound dehiscence: Surgical wound dehiscence refers to the separation or opening of the surgical wound, which can occur after the surgery, not before. Proper wound care and surgical techniques are essential to prevent wound dehiscence.
d. Prosthetic fitting and training: Prosthetic fitting and training are part of the post-operative care, not pre-operative complications. After the amputation, the patient will be evaluated for the appropriate prosthetic device, and training will be provided to adapt to using it effectively.
Correct Answer is C
Explanation
Peripheral vascular disease, which involves decreased blood flow to the extremities, is a common indication for amputation. In severe cases, where blood flow cannot be restored, amputation may be necessary to prevent further complications.
a. Chronic low back pain: Chronic low back pain is not an indication for amputation. It is usually managed through conservative treatments such as physical therapy, medications, or injections.
b. Osteoarthritis of the knee: Osteoarthritis of the knee may cause pain and mobility issues, but it does not typically lead to amputation. Treatment for osteoarthritis includes pain management, physical therapy, and, in some cases, joint replacement surgery.
d. Minor soft tissue injury: Minor soft tissue injuries do not require amputation. They are usually treated with wound care, rest, and possibly antibiotics if there is an infection.
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