Principles of Amputations for Orthopaedic Exams

Description

The presentation discusses various principles related to limb amputation, led by Mahmoud Ali Rahami. The session begins with a warm welcome and acknowledges the attendance of senior mentors, including Mr. Zavala, who will later cover aspects of clinical examination. The primary focus immediately turns to limb amputation, underlining its historical significance as one of the oldest surgical procedures and its implications for patient morbidity and mortality.



The presentation outlines key learning objectives, such as understanding the indications for amputation, the decision-making process for determining the appropriate level of amputation, surgical techniques, rehabilitation processes, and potential complications. It emphasizes the necessity for trauma surgeons to possess adequate knowledge in this area, given the prevalence and impacts of traumatic injuries leading to amputations.



Statistical data shows that lower limb amputations make up a significant portion of total amputations, with various causes such as peripheral vascular disease, diabetes, trauma, and tumors influencing the need for surgical intervention. The speaker categorizes trauma-related amputations into acute, subacute, and chronic scenarios, discussing critical indications for when to proceed with an amputation.



Rahimi highlights the importance of a multidisciplinary team (MDT) approach in managing amputations, emphasizing collaboration with various specialists such as plastic and vascular surgeons to ensure optimal outcomes. The session goes further into specifying the preoperative considerations, surgical technique nuances, and postoperative management strategies, including pain control and rehabilitation.



Throughout the presentation, participants are encouraged to engage in discussions and contribute questions through a chat platform, fostering an interactive learning environment. As the presentation nears its conclusion, attendees are reminded of the implications of complications that may arise, particularly around phantom sensations or pain, which remain common among amputees.

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