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Transfem Pros

Transfem Pros

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Published by Dr. Vinod Gupta

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Published by: Dr. Vinod Gupta on Sep 14, 2011
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07/17/2013

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TRANFEMORAL
 PROSTHETICS
A PATIENT CARE MANUAL FOR THE NEW AMPUTEE 
This booklet was created for informational  purposes only. The information contained herein should only be used for reference material and is not intended to replace the advice of your healthcare provider(s). You should always consult with your physician or healthcare provider concerning any medical issues and before beginning any treatment regiment.
 
 
TABLE OF CONTENTS
INTRODUCTION……………………………….……………………………………..…1COMMONLY USED TERMINOLOGY…………………………….……..…2COMMONLY USED ACRONYMS………………………………………………6BASIC ANATOMY……………………………………….…….……………………....7STATISTICS…………………………………………………….………..………..…....8HEALING RATES…………………………………………………………………..……9MEETING YOUR PROSTHETIST……………………………………...….10POST OPERATIVE CARE………………………………………….………………11IPOP PROSTHESES…….…………………………….………………11SHRINKERS………………………………………………….…..……….13DESENSITIZATION………………………………….………..….14POSITIONING……………………………………………….……..….14PHANTOM LIMB SENSATION…………………..…………16PHANTOM LIMB PAIN………………………………….…………16EXERCISE……………………………………………………….……..……16TEMPORARY PROSTHESIS……………………………………………….…..17PROSTHETIC PROCESS…………………………………………..18CHECK SOCKET FITTING…………………………………….…21TEMPORARY PROSTHETIC FITTING…….…………..22PROSTHETIC FOLLOW UP…………………………………..…24SOCK MANAGEMENT………………………………………………24HYGIENE…………………………………………………………….……….26PHYSICAL THERAPY………………………………………………..26DEFINITIVE PROSTHESIS…………………………………………………..28PROSTHETIC PROCESS…………………………………………..28PROSTHETIC HYGIENE……………………………..…………..30EXERCISE……………………………………………………….…………..31ASSISTIVE DEVICES………………………………………………….………….31AMPUTEE ATHLETIC RESOURCES……………………………………..33RESOURCES FOR THE AMPUTEE………………………….…………....35REFERENCES……………………………………………………………………………..36
 
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INTRODUCTION
An amputation can be both physically and emotionallychallenging for anyone. It is important to understandthat many new amputees function very well andpursue the same active lifestyle as prior to limb loss.This booklet aims to provide you with answers tomany of the questions that arise before and after anamputation. When speaking with your healthcareprovider, it is important to know which questions toask and have an idea of what to expect. Manyquestions will arise throughout the rehabilitationprocess. This booklet will answers to some of themand give you resources to get further information.Having the answers to commonly asked questionsreadily available will help you prepare for the stepsand procedures that will occur before, during, andafter your amputation. This information can assist you in your return to the things you need andhopefully enjoy participating in.This booklet also provides many other resources that you may find useful in your recovery. There are manyorganizations that offer a variety of assistance thatrange from driving devices to sports relatedactivities. This booklet attempts to turn yourdisability into a possibility by sharing the collectiverehabilitative experiences of others with you.
 
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Commonly usedterminology
Abduction
a movement which brings the limb closer to the midline of the body 
Adduction
a movement which positions the limb further away from the body 
Alignment
the spatial relationship between the  prosthetic socket and the prosthetic foot 
Anterior
towards the front of the body 
Check Socket
a temporary socket made of transparent plastic that is used by the prosthetist to diagnose the fit of the socket 
Contracture
tightening of the muscles, tendons, or ligaments that prevents normal movement of a joint 
Cosmesis
the outer covering of a prosthesis,aesthetics 
Definitive Prosthesis
a replacement for a missing limb after all post-surgical swelling has subsided 
Disarticulation
amputation through a joint (i.e.ankle, knee, hip) 
Donning and Doffing
the process of putting on and taking off a prosthesis 
Dorsiflexion
 pointing the toe or foot upwards 
Edema
swelling of the tissues 
Eversion
to turn outward 

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