Prosthesis

From Anvita Health Wiki

Contents 1 More Specific Terms 2 Introduction 3 Indications 4 Management 5 Notes 6 More General Terms 7 Additional Terms 8 References

More Specific Terms

• ocular prosthesis (artificial eye)
• penile prosthesis

Introduction

• A fabricated or manufactured substituted device for a damaged or missing part of the body.

Indications

• reasonable cardiovascular reserve
• adequate healing
• adequate range of motion
• adequate muscle strength
• adequate motor control
• adequate cognitive function

Management

• 6-10 weeks prior to fitting
• requires less energy than swing-through crutch- assisted walking
• below knee amputation ( BKA)

• 33% increase in energy consumption with ambulation over baseline
• knee contractures of > 25% do not allow ambulation

• above knee amputation ( AKA)

• 87% increase in energy consumption with ambulation over baseline

• lightweight prosthesis ( titanium) recommended for geriatric population
• pre- prosthetic training

• range of motion exercises
• proper positioning to prevent contracture
• muscle strengthening
• wheel chair mobility
• transfers
• self care
• ambulation with assistive devices if able
• patient/family education regarding care of residual limb

• prophylactic antibiotics ( cefazolin or vancomycin) before high-risk procedures in patients with prosthetic joints [1]

Notes

• -reinnervated skin may allow prosthetic limb users to 'feel' with a prosthetic limb [4]

More General Terms

• device (medical device)

Additional Terms

• infected prosthesis
• orthotics

References

1. Medical Knowledge Self Assessment Program (MKSAP) 11, 14, American College of Physicians, Philadelphia 1998
2. Genova A. In: Intensive Course in Geriatric Medicine & Board Review, Marina Del Ray, CA, Sept 12-15, 2001
3. Stedman's Medical Dictionary 27th ed, Williams & Wilkins, Baltimore, 1999
4. Marasco PD et al. Sensory capacity of reinnervated skin after redirection of amputated upper limb nerves to the chest. Brain 2009 Jun; 132:1441. PMID: [1]

prosthesis