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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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
The primary goal of rehabilitation after amputation is to help the patient achieve the highest level of mobility and independence possible with the use of assistive devices and prosthetics. While rehabilitation can improve function and quality of life, it may not fully restore the limb to its pre-amputation function.
a. To restore the limb to its pre-amputation function: While rehabilitation aims to improve function, restoring the limb to its pre-amputation function is not always feasible. Amputation involves the permanent removal of a limb or body part, and some limitations may persist.
b. To minimize the use of assistive devices: While rehabilitation may help the patient adapt to using assistive devices, the goal is not necessarily to minimize their use. Assistive devices can greatly improve mobility and independence for amputees.
d. To eliminate all residual pain and discomfort: While rehabilitation can help manage pain and discomfort, eliminating all residual pain is not always achievable. The goal is to optimize the patient's function and well-being while addressing pain and discomfort as effectively as possible.
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