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Review Question - QID 532

QID 532 (Type "532" in App Search)
Which of the following amputations has the LEAST increase in metabolic demand for walking compared to a healthy patient without amputation?

Traumatic transtibial amputation

77%

2654/3430

Vascular transtibial amputation

19%

636/3430

Vascular thru-knee amputation

1%

49/3430

Traumatic transfemoral amputation

1%

28/3430

Vascular transfemoral amputation

1%

44/3430

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Metabolic demands for walking increase after amputation in the lower extremity (Illustration A). In general, traumatic amputations increase the metabolic demands of walking less than those performed for vascular lesions. This is because patients who require amputation for vascular disease likely have continued vascular pathology above the amputation.

Czerniecki reviews normal gait, influence of prosthetic alignment on amputee function, and the effects of prosthetic components on the metabolic costs and the biomechanical function of the amputee.

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