Which surgical technique is commonly used for below-the-knee amputations?
Hip disarticulation
Transmetatarsal amputation
Above-the-knee amputation
Syme amputation
The Correct Answer is B
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.
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Related Questions
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. It is important to address the underlying vascular issues to avoid the risk of gangrene and potential spread of infection.
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.
Correct Answer is B
Explanation
Delayed wound healing is a potential complication that may occur in the immediate post-operative period following amputation. Factors such as poor circulation, infection, or underlying health conditions can contribute to delayed healing of the surgical wound.
a. Phantom limb pain: Phantom limb pain is a sensation of pain, discomfort, or other sensations in the absent limb, but it is not typically an immediate post-operative complication. It may develop later as the nerve endings undergo reorganization.
c. Hypertrophic scarring: Hypertrophic scarring refers to excessive and raised scar tissue formation at the surgical site. While it can occur after amputation, it is not typically an immediate post-operative complication.
d. Contractures: Contractures are abnormal shortening and tightening of muscles and tendons, leading to restricted joint movement. While contractures can develop in the post-operative period, they are not usually immediate complications.
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