Lower Limb Amputations

The primary initial effort in every case of disease or injury should be to save the extremity. Amputation is seldom necessary following bone and joint injuries. More often, it is an admission of defeat in the medical management of the patient with vascular disease. In such cases, it should be performed only as a last resort. The longest possible lever arm, consistent with primary healing, should be maintained for maximum proprioceptive and kinesthetic feedback and thus rehabilitation potential.

Limb loss can occur due to trauma, infection, diabetes, vascular disease, cancer, and other diseases. Regardless of the cause, it often has a profound impact on a person's life. Many amputees experience feelings of loss and grief, frustration in learning to walk with an artificial limb, and difficulty adjusting to a new and challenging lifestyle. This book provides the practical knowledge needed to cope with the many changes caused by lower limb amputation. In clear, accessible language, it covers the medical, physical, and psychosocial issues and answers crucial questions such as: How do I cope emotionally with the loss of a limb? What steps can I take to prevent additional amputations? How do I treat and care for my post-surgery wound? What are the best prostheses for my particular needs? Can I play sports and exercise with a prosthesis? And much more! This unique resource aims to educate those with lower limb amputation so that they can better care for themselves and maximize their independence. The practical advice, tips, and extensive references within its pages will help individuals meet the challenges of leading full and fruitful lives.

Implement TMR with Your Patients and Improve Their Quality of LifeDeveloped by Dr. Todd A. Kuiken and Dr. Gregory A. Dumanian, targeted muscle reinnervation (TMR) is a new approach to accessing motor control signals from peripheral nerves after amputation and providing sensory feedback to prosthesis users. This practical approach has many advantage

Limb loss can occur due to trauma, infection, diabetes, vascular disease, cancer and other diseases. Lower limb amputation is relatively common and has a profound impact on a person's life, regardless of the cause. Feelings of loss and grief, difficulties in learning to walk with an artificial limb, and readjustment to an interrupted life all pose considerable challenges. Nevertheless, there are countless stories of people who have successfully overcome these problems. This book provides the practical knowledge needed to cope with the life changes caused by lower limb amputation. It demystifies the medical process and technical jargon by using plain, easily understandable language. And it is the first book to combine medical, prosthetic, and psychosocial factors in one convenient volume, including: Causes of lower limb amputation, especially diabetes, and ways to prevent further amputation Surgical techniques for lower limb amputation Learning to walk with a prosthesis The unique challenges faced by children and elderly people living with an amputation Exercising and sports with a lower limb prosthesis And much more! The outlook of this book is ultimately an optimistic one. Well-informed, knowledgeable individuals with amputations are better able to take care of themselves and are more effective self-advocates. This book gives them the tools they need to forge a productive, satisfying, and high-quality life.

Part of the best-selling Operative Techniques series, Operative Techniques in Plastic Surgery provides superbly illustrated, authoritative guidance on operative techniques along with a thorough understanding of how to select the best procedure, how to avoid complications and what outcomes to expect. This stand-alone book offers focused, easy-to-follow coverage of lower limb reconstruction and amputation, all taken directly from the larger text. It covers nearly all plastic surgery operations for these specific areas that are in current use, and is ideal for residents and physicians in daily practice.

The majority of amputations in the western world today are due to vascular disease. Despite the advances in surgical treatment of this disease, particularly by reconstruction, it is a sad fact that the number of amputations performed in these countries each year for vascular disease is increasing. Most of these amputees are elderly and their life expectancy is short, so it is important that the treatment and rehabilitation that they receive is informed, appropriate, efficient and swift to enable them to return successfully to life in the community for their remaining years. Management of this group of patients has proved to be successful only if a multidisciplinary team approach is adopted. Until recently in the UK, this approach sadly has only been implemented by a few centres. However, with the publication of the McColl report into the prosthetic and wheelchair service in 1986, interest in the care of the amputee is growing throughout the country. This book covers all aspects of amputation from disease and diagnosis to rehabilitation and community discharge with emphasis on the man agerneut of the largest group, the vascular lower limb amputee. A team approach is described and emphasized as being essential for good results and subsequent successful return into the community. The role of each of the important disciplines is described in relation to the appropriate part of the rehabilitation phase.

Ce livre offre les fondements de la compréhension de l'importance du conditionnement physique et des manières qu'une personne amputée peut être se remettre en forme en adaptant leurs prothèses au programme d'entrainement ou alors en suivant un programme de remise en forme sans leur prothèse. Différents niveaux d'amputations sont couverts ainsi que des ajustements aux exercices.