Post-Operative Management of the Lower Extremity Amputee

This course is the result of a 2003 consensus conference on the topic. Five post-operative care strategies previously identified in published literature were adopted for discussion by the conference committee. These strategies included soft dressings, non-removable rigid dressings without an immediate prosthetic attachment, non-removable rigid dressings with an immediate post-operative prosthesis, removable rigid plaster dressings, and prefabricated post-operative prosthetic systems. Show Full Description.

This course is the result of a 2003 consensus conference on the topic. Five post-operative care strategies previously identified in published literature were adopted for discussion by the conference committee. These strategies included soft dressings, non-removable rigid dressings without an immediate prosthetic attachment, non-removable rigid dressings with an immediate post-operative prosthesis, removable rigid plaster dressings, and prefabricated post-operative prosthetic systems.

The committee defined the various aspects of care that should be considered during the post-operative rehabilitation protocol. These issues are directly related to improving mobility, enhancing healing, limb volume management, and improving outcomes. Each stage of care from the pre-operative period to the late stages of post-operative rehabilitation is defined. The committee established a table of clinical concerns and treatment goals to outline the changing goals of care at each stage of rehabilitation. These clinical concerns and treatment goals may be used by clinicians for development of treatment protocol and guidelines within their communities.

Finally, it was noted by the committee that wound healing is an area of significant controversy and the definition of "healed" and "healing" varies from study to study. This committee has defined categories of wound healing to aid the clinician and researcher in standardizing this often subjective area. Goals of care associated specifically with the amputation, such as pain management, fall prevention, and improved mobility, are discussed. In addition, goals associated with overall patient care are included, such as musculoskeletal reconditioning and cardiopulmonary training, contra-lateral lower limb preservation, emotional care, and minimizing systemic complications.

After completing this on line module the clinician should be able to

  1. Identify and describe the five basic post operative strategies available.

  2. Identify and understand the minimum standards of care required to achieve appropriate rehabilitation.

  3. Understand the appropriate timing of treatment strategies and

  4. Understand the current literature, research priorities and reporting standards for accessing outcomes.

How the course was developed
The Clinical Standards of Practice (CSOP) consensus conference concept has been promoted and used by various professionals in the medical community to bring forth concepts of practice that are either poorly or under reported in the literature.

The CSOP on Post-Operative Management of the Lower Extremity was funded by the American Academy of Orthotists and Prosthetists through Project Quantum Leap. The two-day conference was convened May 31, 2003 and co-chaired by Douglas G. Smith, MD and Gary M. Berke, MS, CP, FAAOP. Participants were selected from a national pool of noted experts in the area of surgery and rehabilitation for the amputee. This multidisciplinary group was chosen specifically based on years of experience and provision of literature in their area of expertise. Disciplines included orthopaedic surgeons, vascular surgeons, physiatrists, prosthetists, physical therapists, and peer counselors. After publication of the conference findings as a supplement to the JPO in July 2004, Mark Edwards, CP led a team at Northwestern University Prosthetics & Orthotics Center which developed this online course.

Consensus Conference Participants:
Douglas G. Smith, MD
Gary M. Berke MS, CP, FAAOP

Ryan Blanck, CPO
Christian Bianchi, MD
Mary Williams Clark, MD
Jan P. Ertl, MD
Alberto Esquenazi, MD
John Fergason, CPO
Matthew D. Flynn, CP, FAAOP
Robert Gailey, Phd, PT
Todd Kuiken, MD
Robert "Skip" Meier, MD
Joseph A. Miller, MEd, CP
Michael S. Pinzur, MD
Lew C. Schon, MD
Donald G. Shurr, CPO, PT
Laura L. Willingham
Yeongchi Wu. MD

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Tags: Prosthetics, State of the Science Conference Findings
Credits: 10
This course has been approved for ABC, BOC, and CBC continuing education credit.
Expiration date: September 20, 2011
To receive credit for this course, you must successfully pass the exam before the course expires.
Final exam: 70 multiple choice questions, 80% must be correct to pass.
Cost: $150.00 (Nonmember) Member price: $75.00 (Log in or join for member pricing.)
(The lesson for this course is available free of charge, but payment is required to take the exam for credits.)

Large File: The lesson for this course is a Powerpoint presentation that is 1.9 megabytes. Please allow time for the lesson to download.

           

IMPORTANT: The exam for this course has expired and can no longer be taken for credits. If you purchase this course, you will gain access to the course lesson, but not the exam. Students can still take the exam using the code provided by their instructor.

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