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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Related Questions
Correct Answer is A
Explanation
During a below-the-knee amputation, the primary focus of the surgical technique is to preserve the ankle joint whenever possible. This allows for better functional outcomes and facilitates the use of a prosthetic device.
b. Removing all muscles from the affected limb: While some muscle tissue is removed during amputation, the goal is not to remove all muscles. Some muscles are retained to provide coverage over the bone stump and to facilitate prosthetic fitting.
c. Creating a cosmetic incision line: While cosmetic considerations may be taken into account, the primary focus of the surgical technique is not solely on creating a cosmetic incision line. The incision is made to ensure appropriate tissue healing and to prevent complications.
d. Resecting the tibia and fibula bones: In a below-the-knee amputation, the tibia and fibula bones are typically resected to the appropriate level to accommodate the prosthetic device, but the primary focus is on preserving the ankle joint when possible.
Correct Answer is A
Explanation
The primary goal of positioning the residual limb in the post-operative period after amputation is to promote venous return and reduce swelling. Elevating the limb helps improve blood flow and reduce edema, which can enhance healing and prevent complications.
b. To improve the patient's comfort and relaxation: While positioning may improve the patient's comfort, the primary goal is related to physiological considerations such as venous return and swelling reduction.
c. To encourage early ambulation and mobility: Early ambulation and mobility are important components of post-operative care, but the primary goal of positioning is not directly related to encouraging ambulation.
d. To protect the surgical incision from contamination: Positioning the residual limb is not primarily intended to protect the surgical incision from contamination. Dressings and wound care techniques are used for this purpose.
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