85 % caused from peripheral vascular disease 12% caused from traumatic accidents (also includes cancer) 3% congenital Causes of amputations

Benefits of aggressive post-op care Protect residual limb Most likely still have vascular issue, so 2 nd limb still at risk. Volume control Ace wrap or shrinker Promote full range of motion at knee Potential ambulation

Soft Dressing Gauze: let it breath, not much benefit Indications Easy to inspect limb Drainage tube can be utilized No compression Contraindications No volume control No protection for residual limb or sutures No desensitizing of limb Does not prevent flexion contracture

Ace Wrap & Shrinkers Contraindications Improper wrapping can be counterproductive Difficult/impossible to don independently Offers little or no protection Does not prevent flexion contractures Indications Controls volume Easy to inspect Inexpensive

Adjustable Post Operative Protective Preparatory System APOPPS/Flotech Indications Protects residual limb Prevents flexion contracture Easy to apply/inspect Potential weight-bearing Contraindications No volume control Not custom shaped to limb Costly

Rigid Dressing Indications Custom protection of limb and suture line Controls swelling Desensitizes residual limb Removable to inspect limb Contraindications Cannot be used on bulbous shaped limb Difficult to re-apply after removal Needs to be closely monitored for proper fit

Rigid Dressing with Pylon Indications Allows standing partial weight-bearing (20-30 pds ) Gait training Desensitizes limb Contraindications Potential trauma to suture line Partial weight-bearing which limits gait training

Immediate Post Operative Prosthesis Indications Edema control Protection Prevents contractures Less risk of infection Potential weight-bearing Contraindications Difficult to inspect Costly Specialized/trained staff necessary Weight-bearing unpredictable

Ischial Weight-Bearing Prosthesis Indications Full weight-bearing immediate after surgery No potential for trauma to limb Gait training Cardiovascular and psychological benefits Contraindications No weight-bearing through limb A-typical gait Costly

Custom Prosthesis For a new prosthesis, you gradual introduce the patient to the wearing, having it on for an hour to gradually for the majority of the day. EX: Week 1, wear 1hr, then take off for a while, put back on for an hour.