What are the disadvantages of residual limb management after amputation?

After amputation, the amputated limb needs to pay attention to daily cleaning, must avoid the possibility of all infections, it is best to use drugs to control the total area of infection, some patients will be infected will spread, this kind of situation will lead to some harm to the human body, very large risk, we must immediately go to the medical care of our own human body, if necessary, we can choose antibacterial and anti-infection drugs to improve inflammation in the human body.

What to do with the residual limb after amputation.

High amputation is divided into minor high amputation and major high amputation. In addition to the elimination of infected and necrotic tissue, minor high amputation refers to the limited removal of a portion of tissue according to the reconstruction of a part of the blood vessels or physical correction of the open part of the high limb. Major high amputation is the result of not being able to relieve more serious conditions with vascular rehabilitation, medication control or minor high amputation.

Large high amputation is divided into bottom high amputation and high amputation, the bottom high amputation is generally from the front of the knee 10 cm high amputation, while high amputation requires high amputation from the inner thigh. After high amputation, the mortality rate of patients increased by more than 50% within 2 years and 80% within 5 years. The above survival rates are all survival rates for osteosarcoma, a high-level amputation due to bone cancer.

The survival rate of high amputation caused by all normal causes (such as accidents, car accidents, etc.) is basically the same as that of ordinary people.

Peripheral vascular disease: clinical manifestations such as regression of foot aorta pulsation, intermittent claudication, immobility pain, and/or abnormalities according to non-invasive vascular examination, alerting to poor or harmful blood circulation.

What to do with the residual limb after amputation.

Ischemic: a representative with circulatory injury confirmed by regular examination (or) vascular examination according to clinical medicine.

Subacute lower extremity ischemic: persistent, cerebral ischemia, immobile pain, regular sensory nerve deficit for more than 2 weeks, and/or ulceration or gangrene of the foot or toe, both of which are associated with ankle pressure.

After amputation, the stump first needs to be smoothed with a bone file to avoid pain caused by uneven bone surfaces. The nerve is then closed**, the blood vessel is ligated, and the adjacent muscles can be sutured. If the amputation is caused by infection, the wound can not be sutured directly in the first stage, and a negative pressure device can be used to suction, and after 5 to 7 days, if the negative pressure suction wound is removed and there is no infection, then suture is performed.

If it is an amputation caused by trauma, the severed wound is fresh, and the wound can be sutured directly, and the main thing is to change the wound dressing after surgery, and if the patient has good wound healing, he can wear a prosthesis for movement.

The residual limb after amputation should generally be disposed of by medicine, including medical waste, medical waste, etc., and should be loaded in a bag with a yellow sign of medical infectious goods, so that it should be disinfected and incinerated in time to prevent the spread of the epidemic.

The treatment of the output value after amputation must be different, because there are many times when it will have some scars or some dangers of breaking the skin, so it is necessary to clean up carefully when dealing with the value, use more anti-inflammatory drugs, and try not to infect your residual limb.

The disadvantage of the residual limb treatment after amputation is that it is not as easy to use as your own hands, so you need to practice slowly.

Summary. The residual limb after amputation is generally handed over to the patient's family, and the patient's family disposes of it by himself, takes it home and buries it, which is generally such a process.

In this case, it is generally the hospital and the family members who communicate, and some people are willing to take it back for disposal, and some are willing to hand it over to the hospital, so this situation can be discussed.

Generally, the biggest symptom after amputation is that the wound at the end of the residual limb does not heal, like this case, it is generally necessary to change the dressing regularly and pay attention to prevent infection of the wound, and it can generally slowly return to normal.

What about the amputated limb after amputation? Return? Destroyed?

The residual limb after the amputation of Qi Chunchao is generally handed over to the patient's family, and the patient's family disposes of it by himself, takes it home and buries it, which is generally such a process. In this case, it is generally the hospital and the family members who communicate, and some people are willing to take it back for disposal, and some are willing to hand it over to the hospital, so this situation can be discussed. Generally, the biggest symptom after amputation is that the wound at the end of the residual limb does not heal, like this case, it is generally necessary to change the dressing regularly and pay attention to preventing infection of the wound, and generally you can slowly recover the normal pants.

We have to remove the amputated limb after the amputation, and the hospital says that the law says that the limb cannot be returned.

In the case of a high-level amputation, the limb is not returned and will be incinerated by the hospital incinerator.

After the high-level amputation, the body of the patient is classified as medical waste according to the standard, and it needs to be incinerated in the outpatient department of the hospital to prevent the spread of other socks virus infection or cause a series of vicious incidents in criminal cases. However, if you persevere, you can still bring it, and you must communicate with the doctor in charge.

We want to bring it back, but the doctor in charge won't give it.

Our faith demands that we must bring it back.

You can call the hospital leader and ask them about the solution.

01 Congenital limb development abnormality, if this is the case, it is difficult to recover through surgery, if you want to walk more conveniently like a normal person, you can choose to amputate and install a prosthesis to make it easier to move.

02 Severe trauma, such as mechanical injury, severe burns, frostbite, etc., is so serious that the limb is damaged beyond repair and amputation can also be considered.

03 Severe infection, if the wound is not treated well, it is easy to cause infection, if the infection repeats, it may also cause the wound to ulcerate, resulting in the loss of part of the limb function, and can only be amputated.

04 When something unfortunate happens, such as a comminuted fracture of a limb caused by a car accident, then you can only amputate the limb, or **necrosis, and you can only choose amputation.

Amputation Residual Limb Assessment Criteria:

1. Shape of the residual limb:

In order to fit the wearing of modern prosthetic sockets, the shape of the residual limb should be cylindrical rather than conical. Because the conical residual limb stump cannot bear weight, it does not meet the requirements of modern prosthetic socket for full contact and full weight bearing.

2. Range of motion:

Limited range of motion of the hip or knee will adversely affect the compensatory function of the lower limb prosthesis.

3. Stump deformity: yard slip digging.

For example, if an upper-knee amputation is accompanied by a severe flexion abduction deformity of the hip joint, and a below-the-knee amputation is accompanied by a severe flexion deformity of the knee, the prosthesis can be difficult to wear. When the leg amputation is accompanied by an ipsilateral femoral shaft fracture that heals laterally angulation deformity, this will affect the power alignment of the prosthesis.

4. Late nuclear ** situation:

Scars, ulcers, free skin grafts, laxity, bloat, wrinkles, etc. all affect the wearing of prostheses.

5., residual limb length:

It has a direct impact on the type of prosthesis, the ability of the residual limb to control the prosthesis, the suspension ability, stability and compensatory function of the prosthesis.

Legal basisArticle 30 of the Standards for the Appraisal of Work-related Injuries of the People's Republic of China.

Due to the needs of daily life or employment, the injured employee can be fitted with prostheses, orthoses, artificial eyes, dentures and wheelchairs and other assistive devices upon confirmation by the Labor Ability Appraisal Committee, and the required expenses shall be paid from the work-related injury insurance** in accordance with the standards stipulated by the state.

01 The purpose of amputation is to eliminate diseased tissue or relieve pain and ensure the safety of patients, and amputation is divided into minor amputation and major amputation. A minor amputation is a partial amputation, and a major amputation is a large excision of a limb. There are many reasons for amputation, such as the following.

02 Generally, the injuries caused by car accidents are irreversible, and they are disastrous residual injuries, resulting in serious damage that cannot be repaired, because the limb is completely unfunctional, and it is forced to amputate in order not to endanger the safety of life.

03 Tumors, bone cancer is a tumor that occurs in the bone or its appendages, and has a high mortality rate. When bone cancer is undergoing conservative ** (chemotherapy), the tumor is growing, indicating that it is not sensitive to chemotherapy, which greatly threatens life safety, so amputation is the best choice at this time.

04 Severe trauma, including mechanical injury, burns, frostbite and electrical injury, etc., resulting in irreparable blood supply to pure limbs or inability to reconstruct body tissue function. It would have to be amputated.

05 Severe gunshot wounds or blows caused by war, guns and bombs are extremely destructive, if they are hit in a limb or blown up in a limb, the muscles and blood vessels will be a mess at that time, and it is completely impossible to repair, so they have to amputate the limb.

Generally, lower limb prostheses only need to ensure our weight bearing and daily walking. However, upper limb prostheses carry the finer motor needs of our lives, that is, the expression of emotions and symbols of will, let's take a look at the details of prosthetic manufacturing.

A common lower limb prosthesis, also known as a thigh prosthesis, consists of four parts: the socket, the knee, the ankle, and the prosthetic foot. The domestic receiving cavity is mainly supported by a horizontal elliptical quadrilateral ischial bracket, from the ischial bracket to the ischial inclusion, and the progress of the receiving cavity technology has brought a lot of good news to amputees wearing thigh prostheses.

There are many lower limb prosthetic products. Depending on the site of the amputation and the condition of the residual limb, the suitable prosthesis is also different. Corresponding to the different amputation sites, there are five types of lower limb prostheses:

Prosthetic feet, prosthetic calves, prosthetic knees, prosthetic thighs, and prosthetic hips. type, patients should choose the right prosthesis for themselves according to their own situation.

In principle, it is advisable to install an upper limb prosthesis as soon as possible, because the patient has a strong phantom sensation at the beginning of the amputation, which is very helpful for the control of the functional prosthesis and can shorten the training time. However, for patients, the postoperative recovery is different, and there are other reasons, such as skin grafting, and the installation time varies from person to person.

At present, the prosthetic function on the market is relatively simple, and it is difficult for patients with upper limb amputation to return to their original state. It is hoped that patients with upper limb prostheses will not report too high expectations, so as not to cause a huge psychological gap, but patients with upper limb prostheses can still adapt to daily use after training and adaptation.