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Amputasi Bellow Knee
Amputasi Bellow Knee
Amsal P. Sinaga
nonischemic limbs
skin flaps and
muscle design
tension
myodesis
tension
myoplasty
tension
myodesis
: transected muscle
groups are sutured to
bone under
physiological tension
Canale & Beaty: Campbell's Operative Orthopaedics, 11th
ed.
tension
myoplasty
The muscle is sutured
to soft tissue, such as
opposing muscle
groups or fascia
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AFTER-TREATMENT
fairly aggressive
rigid dressing helps control
edema
limits knee flexion contracture
protects the limb from external
trauma
A prosthetist can be helpful
with such casting
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AFTER-TREATMENT
A jig that allows attachment
and alignment for early pylon
use
The cast can be changed every
5 to 7 days
Within 3 to 4 weeks, the rigid
dressing can be changed to a
removable temporary
prosthesis
Several months, transitions of
temporary prosthetics to the
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Ischemic limbs
a long and a short
posterior myocutaneous
flap
tension myodesis
is
contraindicated
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Redrawn from Burgess EM, Zettl JH: Amputations below the knee. Artif Limbs
13:1, 1969
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AFTER-TREATMENT
A soft dressing
Rigid dressing (early
ambulation)
The cast that extends
proximally to midthigh
The cast should be removed in
5 to 7 days
If wound healing is
satisfactory, a new rigid
dressing or prosthetic cast is
applied
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