anter ior asp ct of the tibia at the ankle joint lne p r - alel w ith the centr elne of the leg... ” Hip disartic latio ” refers to amputatio at th amputatio.. me ts is th crotch but, in
Trang 1membr es inf kieur s
IS0 8 4 2:19 3(E)
Trang 2For ewor d
of pr ep r i g Inter national Stan ar ds is nor maly car r ied out thr ou h IS0
a v ote
- Par t 1: Method of des r ibin lmb def i ien ies pr esent at bir th
- Par t 5: Patient des r iptor s
A nnex A of this p r t of IS0 8 4 is for inf or mation only
Al rig ts r es r v ed No p r t of his publcatio may be r eprod c d or utiz d in an for m or
by an mean , ele to ic or me hanical in lu in ph to opyin a nd microfim, w ith ut per
mis io in w ritin fom t he publs er,
Inter natio al Or ganizatio f or Stan ar dizatio
Cas Po tale 5 l C -‘ 21 Ge ev e 2 l Sw itz rlan
Pr i te in Sw itz rlan
Trang 3Intr oduction
ar e man T he memb r s of the clnic te ms in dif f r ent cou tr ies, w or kin
ow n s stems to me t their in iv id al ne d Hen e ther e is a ne d f or an
I
Trang 4This p ge intentionaly le blank
Trang 5Pr osthetics and orthotics
of this p r t of IS0 8 4 A t the time of publcation, the
edition in icated w er e v ald A ll stan ar ds ar e s bject
f i ien ies pr esent at bir th
ca ular y - Par t 7: Gener al ter ms f or exter nal lmb
For the pur poses of this p r t of IS0 8 4 , the def i-
t he p r tic lar lev el of amputation as des r ib d in 4.1
a nd 4.1.2
4.1.1 Ref er en e lev els
t o the centr elne of the thig , can b o tained
4.1.1.2 Medial joint lne - the lev el of the medial
t ibia1 plate u, u les ther e is a fixed def or mity of the
en
Trang 64.1 I.4 Gr ou d lev el - the lev el on w hic the p -
tient is stan in b r ef oot
c an es as it c r v es in tow ar ds the en
4.1.2 Ref er en e planes (u ed f or p r tial fo t
the plane at the p ster ior as-
p ct of the he l p r alel w ith the centr elne of the leg
anter ior asp ct of the tibia at the ankle joint lne p r -
alel w ith the centr elne of the leg
4.3.1 Gener al
los of joint sta i ty
mov ement
of the joint ar e me s r ed f r om def i ed zer o star tin
p sition
in p lomyeltis cases are e ualy in p ro riate
Th s bjectiv judgeme t as to wh th r th re is significa t
s ficie t to sta ize th proximal joint with th stump in a
en p r alel w ith the centr elne of the leg
to s of the contr alater al leg p r alel w ith the centr elne
of the leg
f or the p r tic lar lev el of amputation
1 to 7) for the p r tic lar lev el of amputation
NOT 2 It is recognize th t sta ity of a joint is a func-
que ces
by the u e of the g idan e giv en in an ex A
Trang 75.2 Tr an -p lvic amputatio
Use the des r iptor s s ow n in ta le 1
Use the des r iptor s s ow n in ta le
” Hip disartic latio ” refers to amputatio at th
amputatio
me ts is th crotch but, in th case of a flexio d formity,
le el at which a circ mfere tial me s reme t is p s ible at
Use the des r iptor s s ow n in ta le
me ts is th crotch but, in th case of a flexio d formity,
lev el at which a circ mfere tial me s reme t is p s ible at
right a gles to th ce treln of th stump
Use the des r iptor s s ow n in ta le 5
me ts is th me ial joint ln but, in th case of a flexio
p s ible at right a gles to th ce treln of th stump
me ts is th me ial joint ln but, in th case of a flexio
p s ible at right a gles to th ce treln of th stump
Use the des r iptor s s ow n in ta le
Trang 8Ta le 1 - Des r iptor s for tr an -p lv ic amputation (se 5.2 an an ex A )
S n b rier intact/ skin b rier n t intact
No a ditio al s aring/ ad itio al s aring
Trang 9S n b rier intact/sk in b rier n t intact
No a ditio al s aring/ ad itio al s aring
Trang 10T able 3 - Des r iptor s f or tr an -femor al (a ov e-kne ) amputation (in lu in s pr acon ylar an
Des riptor
4
If th co tralateral lmb is th site of a amputatio , state th le el
Cyln rical/co ical/ bulb u
Not promin nt/promin nt
He le / un e le
Mo ie/ ad ere t
S n b rier intact/sk in b rier n t intact
No a ditio al s aring/ ad itio al s aring
Circ latio
Colour of sk in
Normal/ cya otic/ oth r dis oloratio
Trang 12T able 4 - Des r iptor s f or kne disar tic lation (not in lu in tr an con ylar an s pr acon ylar
Des riptor
If th co tralateral lmb is th site of a amputatio , state th le el
S n b rier intact/ sk in b rier n t intact
No a ditio al s aring/ad itio al s aring
Circ latio
Colour of sk in
No significa t re u tio /significa t re u tio
Trang 13Cr otc lev el
-
Minimum circ mfere c le el
Femor al c n ylar lev el
Trang 14If th co tralateral lmb is th site of a amputatio , state th le el
S n b rier intact/sk in b rier n t intact
No a ditio al s aring/ ad itio al s aring
Circ latio
Colour of sk in
Normal/ cya otic/ oth r dis oloratio
Sta i ty
Kn e
1)
10
Trang 16groun , Z4
If th co tralateral lmb is th site of a amputatio , state th le el
S n b rier intact/sk in b rier n t intact
No a ditio al s aring/ ad itio al s aring
Circ latio
Colour of skin
Normal/ cya otic/ oth r dis oloratio
No significa t re u tio / significa t re u tio
K ne
Normal/ ab ormal (Sp cify: flexio / exte sio )
No significa t re u tio / significa t re u tio
Pain in proximal joints
No/yes
12
Trang 17M
Maximum
nimum cir cumfer en e le el -
distal cir cumfer en e le el-
Trang 18S n b rier intact/sk in b rier n t intact
No a ditio al s aring/ ad itio al s aring
Zirc latio
Colour of skin
Normal/ cya otic/ oth r dis oloratio
Normal/ ab ormal (Sp cify: flexio / exte sio )
Ank le
Fo t remn nt
Oth r d formities
Not significa t/ significa t (sp cify)
14
Trang 20t he con ition of the skin of the stump;
pr ov ided the w or ds “c ln r i al” or “conical” ar e not
inter pr eted to lter aly, they ar e eq aly des r iptiv e
In ad ition it is imp r tant to r ecor d w hether an b ne
is u d ly pr ominent
r ecor ded but it is enou h to state:
a) w hether the skin is nor mal, c anotic or other w ise
dis olour ed;
an
w ith a pr osthesis
recor ded
r ecor ded
lated to the p tient as a w hole, the contr alater al lmb
16
Trang 21T his p ge intentionaly lef blank
Trang 24UDC 616-0 9.2 5 1.4 1.3 3
De criptors: me icin , pr osth tic d v ic s,
low er lmbs, d fe ts, d s riptio
Pric b s d o 16 p g s