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 A
Explanation
In severe cases of diabetic neuropathy, where peripheral nerve damage leads to non-healing ulcers, infections, and gangrene, amputation may be considered as a lifesaving measure. Removing the affected limb can prevent the spread of infection and potentially save the patient's life.
b. Chronic obstructive pulmonary disease (COPD): COPD is a chronic respiratory condition that primarily affects the lungs. It is not an indication for amputation.
c. Bone fracture with non-union: A bone fracture with non-union refers to a fracture that fails to heal properly. While it may require surgical intervention, it does not typically lead to amputation unless there are severe complications.
d. Malignant bone tumor: Malignant bone tumors may require surgical resection, but amputation is usually a last resort and only considered when the tumor cannot be safely removed through other means.
Correct Answer is D
Explanation
During an amputation procedure, the bone stump is typically left intact to provide a stable base for prosthetic fitting. The muscles, nerves, and tendons are carefully dissected and secured to prevent complications and facilitate healing.
a. Muscles: While muscles are involved in the surgical procedure, they are typically resected to the appropriate level to accommodate the prosthetic device.
b. Nerves: Nerves are carefully dissected and secured during the amputation procedure to prevent neuromas and phantom limb pain but are not left intact for prosthetic fitting.
c. Tendons: Tendons are typically resected during the amputation procedure, and their positioning and attachment are crucial for proper wound closure and healing, but they are not left intact for prosthetic fitting.
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