Prosthesis (from Greek "prosthesis" meaning "attachment" is an artificial device that acts as a functional replacement for a missing body part, whether through amputation, congenital malformation, or otherwise missing, which may be lost through trauma, disease, or congenital conditions.
Breast prostheses, which may be single or bilateral
Full breast devices
Nipple prostheses
Limb prostheses, which is used at varying levels of amputation, including:
Upper-extremity prostheses, including:
Forequarter
Shoulder disarticulation
Transhumeral prosthesis
Elbow disarticulation
Transradial prosthesis, which is an artificial limb that replaces an arm missing below the elbow
Wrist disarticulation
Full hand
Partial hand
Finger
Partial finger
Lower-extremity prostheses, describing artifically replaced limbs located at the hip level or lower. including:
Hip disarticulation
Transfemoral prosthesis (aka above the knee, or AK prosthesis), an amputation transecting the femur bone or a congenital anomaly resulting in a femoral deficiency. It is thus an artificial limb that replaces a leg missing above the knee. Patients can have a very difficult time regaining normal movement, requiring 80% more energy to walk than a person with 2 whole legs, due to the complexities in movement associated with the knee
Knee disarticulation
Transtibial prosthesis (aka below the knee, or BK prosthesis), an amputation transecting the tibia bone or a congenital anomaly resulting in a tibial deficiency. It is thus an artificla limb that replaces a leg missing below the knee. Patients are usually able to regain normal movement more readily than someone with transfemoral amputation, due in large part to retaining the knee, which allows for easier movement
Syme's amputation
Foot
Partial foot
Toe
MOA
Prosthetics are designed and assembled according to the patient's appearance and functional needs. A patient's future goals and financial situation can help them choose between devices
Prosthetists begin by taking a plaster cast of the patient's affected limb
Lightweight, high-strength thermoplastics are custom-formed tot his model of the patient
Cutting-edge materials e.g. carbon fiber, titanium and Kevlar provide strength and durability while making the new prosthesis lighter
More sophisticated prosthesis are equiped with advanced electronics, providing additional stability and control
Rehabilitation is primarily coordinated by a prosthetist, alongside psychiatrists, surgeons, physiotherapists and occupational therapists. Prosthetists are responsible for the prescription, design and management of a prosthetic device
Abx prophylaxis
The TG's (amended Aug 2022) states that there should be the same approach to surgical abx prophylaxis to Pt's w/ and w/o pre-existing joint prosthesis
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