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Below the Knee Amputations and Physical Therapy Rehabilitation - Research Paper Example

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Below the Knee Amputation and Physical Therapy Rehabilitation Introduction Below the knee amputations are normally performed when tumors at the feet and ankles manifest. Current developments in medicines however, have brought around preoperative chemotherapy and adjuvant radiation therapy that managed to confine the growth of tumors within a certain location only…
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Below the Knee Amputations and Physical Therapy Rehabilitation
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Download file to see previous pages The last reason is generally rare because amputation may not relieve the pain that is constantly felt due to the presence of phantom pain (Duckworth, 2000a). The most common cause of amputation is ischaemia that originates from vascular diseases. When amputation is the recourse, the full cooperation of a professional prosthetist is compulsory prior to and after surgery because the residual limb must be set to have the best possible function and physical appearance which adheres to removing the pathology. If amputation is the last possible medical option to remove a tumor or growth on the lower limbs; the procedure will necessitate amputation through the joint above the pathology or if possible even higher, the outcome of which may leave the residual stump a reduced amount of ideal functionality after the procedure. Below the knee amputation is the most common because such procedures provide the remaining limb or stump greater function if the knee-joint is retained, especially in elderly individuals (Palma et al., 2009). The general considerations for amputations are as follows: 1) if the amputation is more marginal or on the borderline results in a too long stump. This will make prosthesis fitting below it quite difficult; 2) If the joints like the knees or elbows can be retained then the expected result for function retention is quite improved; 3) most lower limb amputations can be fitted with prosthesis, but when amputation is made higher than the joints prosthetic fitting becomes impossible; 4) on the other hand, prosthetic function for upper limb amputations have poor outcomes since hand functions are quite complex along with the replacement of its sensibility (Duckworth, 2000b). Etiology Amputations below the knee is necessary when the leg or foot has either been crushed in an accident or blown up with a landmine in places considered as war zones like Iraq. The severe trauma and injuries sustained by the foot or leg requires amputation since there is no other recourse to save the mangled foot or leg. The necessity to have the foot or limb amputated is to eradicate the risk of gangrene occurrence that may cost the person’s life (Kennedy, 2007). People with illness like diabetes or those who suffer from deep vein thrombosis are at risk of developing complications in the lower extremities. This includes but is not limited to: foot ulcers, infections, tumor and vascular insufficiency. Amputation of a lower extremity is recommended if complications are severe or do not improve with other forms of treatment. And since such condition affects the individual’s quality of life and the patients’ health care costs; the efficient medical management and monitoring is often applied (Gerstein et al, 2002). In cases of foot ulcers and tumor growths that stem from the abovementioned medical conditions the ulcer severity is usually classified according to the Wagner system that has a 1 to 5 grading classification. Grade 1 ulceration pertains to superficial ulcers that involve the entire thickness of the skin but not the tissues beneath. Grade 2 ulceration refers to deeper ulcers that penetrate down to the ligaments including the muscles but excludes the bones and has not yet ...Download file to see next pagesRead More
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