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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Correct Answer is D
Explanation
The primary goal of surgical amputation is to remove the diseased or damaged tissue to promote healing and prevent the spread of infection. While pain relief and restoration of function are important considerations, the main purpose of amputation is to address the underlying condition and improve the patient's overall health and well-being.
a. To eliminate all pain and discomfort in the affected limb: While pain relief is a desired outcome of amputation, it is not always possible to eliminate all pain and discomfort. The goal is to manage pain effectively and improve the patient's quality of life.
b. To restore full function and mobility of the limb: Restoring full function and mobility may not always be achievable after amputation. The extent of functional restoration depends on various factors, including the level of amputation and the patient's overall health.
c. To achieve the most cosmetically appealing result: While achieving a cosmetically appealing result may be important for some patients, it is not the primary goal of amputation. The focus is on medical necessity and addressing the underlying condition.
Correct Answer is C
Explanation
Using sterile technique during wound dressing changes is important to prevent infection in a patient who underwent amputation. Sterile technique helps reduce the risk of introducing microorganisms into the wound, promoting healing and reducing the risk of complications.
a. Performing passive range of motion exercises regularly: Passive range of motion exercises may be appropriate at the appropriate time during the rehabilitation process but are not directly related to preventing infection.
b. Applying a compression bandage to the residual limb: Compression bandages may be used as part of post-operative care, but they are not the primary intervention to prevent infection.
d. Encouraging the patient to bear weight on the residual limb: Encouraging weight-bearing on the residual limb is part of the rehabilitation process but may not be appropriate immediately after amputation. It is not a direct measure to prevent infection.
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