Amputations: General Overview and Procedures
This content explores the generalities of amputations, including etiologies, surgical procedures, and post-amputation care. It covers different types of amputations, such as transmetatarsal, trans-tibial, and leg amputations, along with insights on surgical techniques and rehabilitation processes. The importance of proper decision-making in amputations and the significant role of healthcare professionals in the management of amputees are also discussed.
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Presentation Transcript
Les amputations - Gnralits Richard Ballas CHU de La R union IFSI Trame du cours du Novembre 2013
Ablation d'un membre ou d'un segment de membre Articulation : d sarticulation D cision toujours difficile Pronostic vital ou fonctionnel Cadre de l urgence ou de la pathologie chronique
Etiologie Traumatique Infectieuse Tumorale Vasculaire
Tous les tages concerns Orteils Trans-m tatarsienne gr6b-miniature%09%09%09 Lisfranc Chopart Syme
Trans-tibiale D sarticulation du genou Trans-f morale D sarticulation de la hanche
Amputation en jambe Une mauvaise amputation en jambe vaut mieux qu une bonne amputation en cuisse Int r t de la conservation du genou La plus fr quente des amputations 80% Pathologie vasculaire dont diab te
Incision en bivalves horizontales Section osseuse P ron plus court, d sarticul Mousse R section proximale des nerfs Couverture musculo-apon vrotique, myoplastie Suture ouverte ou ferm e
Suites Correction Hb, vol mie Diab te Analg sie Nursing (Cp d cubitus) Psychologique Pansement /48h Lame/redon Aspect local+++ N crose infection
Lutte contre flessum du genou Kin orth se Cicatrisation Conformation du moignon Appareillage d s la cicatrisation obtenue (21 jours) Proth se provisoire 3 mois, adaptation de la proth se R adaptation R insertion professionelle
