Skip to main content

Ward management

  • Chapter
Limb Amputation

Part of the book series: Therapy in Practice ((TPS))

Abstract

Ward management of the amputee can be divided into three phases: the pre-amputation phase, the operative phase and the post-amputation phase. It is in these three phases that the nurse has much to contribute to the care and treatment of the amputee patient, ensuring successful return to the community.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 16.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Bailey, M.J., Johnston, C.L.W., Yates, C.J.P., Somerville, P.G. and Dormandy, J.A. (1979) Preoperative haemoglobin as predictor of outcome of diabetic amputations. Lancet, i, 168–170.

    Article  Google Scholar 

  • Berlemont, M., Weber, R. and Willot, J.P. (1969) Ten years of experience with the immediate application of prosthetic devices to amputees of the lower extremities on the operative room table. Prosthet Int., 3, 8–18.

    Google Scholar 

  • Bonner, F.J. and Green, R.F. (1982) Pneumatic airleg prosthesis: Report of 200 cases. Arch. Phys. Med. Rehabil., 63, 383–385.

    PubMed  Google Scholar 

  • Browse, N.L. (1974) Amputation of the lower limb. Nursing Mirror, 7 June, 63–65.

    Google Scholar 

  • Burgess, E.M. (1978) Wound healing after amputation: effect of controlled environment treatment. J. Bone Joint Surg., 60, 245–246.

    CAS  PubMed  Google Scholar 

  • Dickhaut, S.C., De Lee, J.C. and Page, C.P. (1984) Nutritional status: importance in predicting wound healing after amputation. J. Bone Joint Surg., 66A, 71–75.

    CAS  PubMed  Google Scholar 

  • Finsen, V., Persen, L., Løvlien, M., Veslegaard, E.K., Simensis, M., Gasvann, A.K. and Benum, P. (1988) Transcutaneous electrical nerve stimulation after major amputation. J. Bone Joint Surg., 70B, 109–112.

    CAS  Google Scholar 

  • Haines, A.M. (1977) Anaesthesia in the elderly, in Geriatric Orthopaedics (ed. M. Devas), Academic Press, New York, pp. 31–38.

    Google Scholar 

  • Holliday, P.J. (1981) Early postoperative care of the amputee, in Amputation Surgery and Rehabilitation — the Toronto Experience, Churchill Livingstone, Edinburgh, pp. 217–232.

    Google Scholar 

  • Hosni, E.A., Ximenes, J.O.C. and Hamilton, F.G. (1968) Pressure bandaging of the lower extremity. JAMA, 206, 2715–2718.

    Article  Google Scholar 

  • Isherwood, P.A., Robertson, J.C. and Rossi, A. (1975) Pressure measurements beneath below-knee amputation stump bandages: elastic bandaging, the Puddifoot dressing and a pneumatic bandaging technique compared. Br. J. Surg., 62, 982–986.

    Article  CAS  PubMed  Google Scholar 

  • Johnson, H.D. (1972) Mechanics of elastic bandaging (correspondence). Br. Med. J., 3, 767–768.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Kane, T.J. and Pollack, E.W. (1980) The rigid versus soft post-operative dressing controversy: a controlled study in vascular below-knee amputees. Am. Surgeon, April, 244–247.

    Google Scholar 

  • Kegel, B. (1976) Controlled environment treatment (CET) for patients with below-knee amputations. Phys. Ther., 56, 1366–1371.

    CAS  PubMed  Google Scholar 

  • Kerstein, M.D. (1985) An improved modality in lower extremity amputee rehabilitation. Orthopaedics, 8, 207–209.

    CAS  Google Scholar 

  • Kraker, D., Pinzur, M.S., Daley, R. and Osterman, H. (1986) Early post surgical prosthetic fitting with a prefabricated plastic limb. Orthopaedics, 9, 989–992.

    CAS  Google Scholar 

  • Latham, J. (1987) Transcutaneous nerve stimulation. The Professional Nurse, February, 133–135.

    Google Scholar 

  • Little, J.M. (1971) A pneumatic weight-bearing temporary prosthesis for below-knee amputees. Lancet, i, 271–272.

    Article  Google Scholar 

  • Manella, K.J. (1981) Comparing the effectiveness of elastic bandages to shrinker socks for lower extremity amputees. Phys. Ther., 61, 334–337.

    CAS  PubMed  Google Scholar 

  • Mann, R.A.M. and Bisset, W.I.K. (1983) Anaesthesia for lower limb amputation. Anaesthesia, 38, 1185–1191.

    Article  CAS  PubMed  Google Scholar 

  • Mensch, G. and Ellis, P.M. (1987) Preoperative and postoperative care and the responsibility of the physical therapist, in Physical Therapy Management of Lower Extremity Amputations, Heinemann Physiotherapy, London, pp. 45–96.

    Google Scholar 

  • Miles, J. (1989) Phantom limb pain, in Step Forward NALD, spring 1989, issue 14.

    Google Scholar 

  • Monga, T.N., Symington, D.C., Lowe, P. and Elkin, N. (1985) Load bearing and suspension characteristics of airsplint as a temporary prosthesis. Prosthet. Orthot. Int., 9, 100–104.

    CAS  PubMed  Google Scholar 

  • Mooney, V., Harvey, J.P., McBride, E. and Snelson, R. (1971) Comparison of post-operative stump management: plaster vs. soft dressings. J. Bone Joint Surg., 53A, 241–249.

    CAS  PubMed  Google Scholar 

  • Müller, E.A. and Vetter, K. (1954) The effect of pressure loads upon blood supply to the skin. Arheitsphysiologie, 15, 295–304.

    Google Scholar 

  • Murdoch, G. (1977) Amputation surgery in the lower extremity. Prosthet. Orthot. Int., 1, 72–83.

    CAS  PubMed  Google Scholar 

  • Murdoch, G. (1983) The post-operative environment of the amputation stump. Prosthet. Orthot. Int., 7, 75–78.

    CAS  PubMed  Google Scholar 

  • Nirula, H.C. (1986) Clinical evaluation of Juzo stump compression supports. ALAC Medical Officers AGM.

    Google Scholar 

  • Parkes, C. (1973) Factors determining the persistence of phantom pain in the amputee. J. Psychosomatic Res., 17, 97–108.

    Article  CAS  Google Scholar 

  • Pearson, R.D., Valenti, W.M. and Steigbigel, R.T. (1980) Clostridium perfringens wound infection associated with elastic bandages. JAMA, 244, 1128–1130.

    Article  CAS  PubMed  Google Scholar 

  • Pollack, C.V. and Kerstein, M.D. (1985) Prevention of post operative complications in the lower extremity amputee. J. Cardiovasc. Surg., 26, 287–290.

    Google Scholar 

  • Puddifoot, P.C., Weaver, P.C. and Marshall, S.A. (1973) A method of supportive bandaging for amputation stumps. Br. J. Surg., 60, 729–731.

    Article  CAS  PubMed  Google Scholar 

  • Redhead, R.G. and Snowdon, C. (1978) A new approach to the management of wounds of the extremities: controlled environment treatment and its derivatives. Prosthet. Orthot. Int., 2, 148–156.

    CAS  PubMed  Google Scholar 

  • Redhead, R.G., Davis, B.C., Robinson, K.P. and Vitali, M. (1978) Postamputation pneumatic walking aid. Br. J. Surg., 65, 611–612.

    Article  CAS  PubMed  Google Scholar 

  • Renstrbm, P. (1981) Below knee amputees at an amputee training centre, in The Below Knee Amputee, University of Göteborg, Sweden, pp. 31–44.

    Google Scholar 

  • Robinson, K.P. (1976) Long posterior flap amputation in geriatric patients with ischaemic disease. Ann. R. Coll. Surg. (Eng.), 58, 440–451.

    CAS  Google Scholar 

  • Ruckley, C.V., Rae, A. and Prescott, R.J. (1986) Controlled environment unit in the care of the below-knee amputation stump. Br. J. Surg., 73, 11–13.

    Article  CAS  PubMed  Google Scholar 

  • Sher, M.H. and Liebman, P. (1982) The air splint: a method of managing below-knee amputations. J. Cardiovas. Surg., 23, 407–410.

    CAS  Google Scholar 

  • Sherman, R.A. (1980) Published treatments of phantom limb pain. Am. J. Phys. Med., 59, 232–244.

    CAS  PubMed  Google Scholar 

  • Spiro, M., Roberts, V.C. and Richardson, J.B. (1980) The effect of externally applied pressure on femoral vein blood flow. Br. Med. J., 1, 719–723.

    Article  Google Scholar 

  • Stewart, A. (1985) Diabetes and amputation at 73. Nursing Times, 24 July, 39–41.

    Google Scholar 

  • Tripes, D. and Pollack, E.W. (1981) Risk factors in healing of below knee amputations. Am. J. Surg., 141, 718–720.

    Article  Google Scholar 

  • Troop, I.M. and Wood, M.A. (1982) The stump — function and associated problems, in Total Care of the Lower Limb Amputee, Pitman Books, New York, pp.76–79.

    Google Scholar 

  • Weiss, M. (1966) The prosthesis on the operating table from the neurophysiological point of view. Report of the Workshop Panel in Lower Extremity Prosthetics Fitting, Committee on Prosthetics Research and Development, National Academy of Science Meeting, 6–9 February 1966.

    Google Scholar 

  • Westaby, S. and White, S. (1985) Wound infection, in Wound Care (ed. S. Westaby.), Heinemann Medical Books, London.

    Google Scholar 

Download references

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 1991 R. Ham and L. Cotton

About this chapter

Cite this chapter

Ham, R., Cotton, L. (1991). Ward management. In: Limb Amputation. Therapy in Practice. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-3152-8_7

Download citation

  • DOI: https://doi.org/10.1007/978-1-4899-3152-8_7

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-0-412-34610-1

  • Online ISBN: 978-1-4899-3152-8

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics