BS ISO 8549-4:2020 Prosthetics and orthotics一Vocabulary Part 4: Terms relating to limb amputation. 1 Scope This document specifies a vocabulary for the description of surgical limb amputations, amputation procedures, and persons who have had an amputation. 2 Normative references There are no normative references in this document. 3 Terms and definitions ISO and IEC maintain terminological databases for use in standardization at the following addresses: — ISO Online browsing platform: available at https://www.iso.org/obp — IEC Electropedia: available at http://www.electropedia.org/ 3.1 General limb amputation 3.1.1 limb amputation surgical removal of the whole or part of a limb 3.1.2 level of amputation joint or segment at which amputation is performed Note 1 to entry: For the upper limb, see 3.1.3. and for the lower limb, see 3.1.4. 3.1.3 upper limb amputation surgical removal of the whole or part of an upper limb 3.1.3.1 partial hand amputations of the upper limb distal to the wrist joint Note 1 to entry: These include the following: — Thumb: Amputation of the whole or part of the thumb; — Phalangeal: Amputation of part of one or more fingers; — Metacarpophalangeal disarticulation: Amputation of one or more fingers; — Metacarpal: Amputation of a part of the hand through one or more metacarpals; — Carpometacarpal dlsarticulation: Amputation of a part of the hand at one or more of the carpometacarpal joints; 3.1.4.4 knee disarticulation amputation of the lower limb at the knee joint 3.1.4.5 transfemoral amputation of the lower limb between the hip joint and the knee joint 3.1.4.6 hip disarticulation amputation of the lower limb at the hip joint 3.1.4.7 transpelvic amputation of the whole lower limb together with all or part of the hemipelvis 3.2 Amputation procedures 3.2.1 initial amputation first amputation of the whole or part of a limb 3.2.2 initial upper limb amputation first amputation of the whole or part of an upper limb 3.2.3 initial lower limb amputation first amputation of the whole or part of a lower limb Note ito entry: The complete description of an amputation has to specify upper or lower limb, left or right side. 3.2.4 revision amputation surgical procedure on a previously amputated limb without changing the level of amputation (3.1.2) Note ito entry: This can involve removal of soft tissue, bony tissue, or both. 3.2.5 two-stage amputation amputation planned to be carried out in two stages Note 1 to entry: The first stage involves amputating the devitalized...
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