Benefits of amputation
Pain relief
Prevent further infection
Prevent spread or growth of tumours
Life saving
Complications
Pain Phantom limb syndrome Immobility Wheelchair dependence Infection Contractures Possible death
MDT
Nurses Tissue viability nurses Diabetes team Psychologist OT Pain management Consultant
TFA
Transfemoral (above knee)
TTA
Transtibial (below knee)
PIRPAG exercises for TTA
Static quads Straight leg raise Inner range quads Hip adduction with resistance Outer range quads Static glutes Hip flexor stretch Bridging Hip flex/ext in side lying Hip abduction in side lying Knee flexion in prone
Prosthetic examples
Pneumatic post amputation mobility aid
Femurette
Pneumatic post amputation mobility aid
Commonly 10 days post op
Not suitable for TFA
Aids oedema reduction
Femurette
1st day post op
Only for TFA
Used to practice stairs and for outdoor mobility
Exercises for TFA
Static glutes Hip flexor stretch Hip hitching Bridging Hip flex/ext in side lying Hip abduction in side lying Hip ext in prone Hip adduction with resistance