The Management of Patients After Lower Extremity Amputation - Why Does the K-Level Matter?

Explore a comprehensive physician grand rounds presentation on the management of patients after lower extremity amputation, focusing on the importance of K-level classification. Delve into various aspects of amputation, including definitions, etiology, types, and energy expenditures. Learn to predict K-levels through case studies and understand the Amputee Mobility Predictor. Examine the physiatrist's role in prosthetic management, post-operative care, and rehabilitation. Gain insights into phantom limb pain, its treatment, and prognosis. Analyze common gait deviations in transtibial and transfemoral amputees, and briefly review pediatric prosthetic fitting. Discover the range of PM&R services available and address concerns about chronic back pain in amputees.

Intro
Objectives
Definitions
Etiology Breakdown
Upper versus Lower Extremity Amputations
Lower Extremity Amputations by Level
Levels of Foot Amputations
TMA versus Hindfoot versus Syme's
Syme's Amputation
Transtibial Amputations (ie BKA)
Hip disarticulation and Hemipelvectomy
Unsatisfactory Levels for LE Amputation
Summary of Energy Expenditures
Predict the K Level: Case #1
Predict the K Level: Case #2
Amputee Mobility Predictor
Why Does the K-Level Matter?
Physiatrist's Role in Prosthetic Management
Physiatrist's Initial Evaluation
Post operative Management
Protection
Shaping
Scar Mobilization
Early Post-Op Rehab
Phantom Limb Pain History
Phantom Sensation versus Phantom Pain
Etiology of Phantom Pain
Phantom Limb Pain Treatment
Phantom Limb Pain Prognosis
Common Transtibial Gait Deviations
Common Transfemoral Gait Deviations
Quick Overview of Pediatric Prosthetic Fitting
PM&R Services
What about chronic back pain?
Questions?