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In this issue of Rehab Grand Rounds, Doctors Twichell and Murdock join together to discuss Transfemoral Amputation and Prosthetic Prescription: What Every Physiatrist Needs to Know.

Educational objectives:

Upon completion of this activity, participants should be able to:

  • Discuss the etiology of lower limb amputations
  • Identify common residual limb complications that can affect prosthetic use and wear
  • Identify common residual limb pain complications
  • Describe the different K level classifications for lower extremity amputees
  • Discuss different types of prosthetic components available to a K3 level transfemoral prosthesis

Reading Resources:

  1. Limb Loss Task Force/Amputee Coalition, Roadmap for Preventing Limb Loss in America: Recommendations From the 2012 Limb Loss Task Force. Knoxville, Tennessee: 2012.
  2. Barmparas et al. Epidemiology of Post-Traumatic Limb Amputation: A National Trauma Databank Analysis. The American Surgeon 2010; 76: 1214-1222.
  3. Krueger et al. Ten Years at War: Comprehensive Analysis of Amputation Trends. Journal of Trauma Acute Care Surgery 2012; 73 (6): S438-444.
  4. Dudek N, Marks M, Marshall S. Skin Problems in the Amputee Clinic. American Journal of Physical Medicine and Rehabilitation 2006; 85(5): 424-429. Smith D. Atlas of Amputations and Limb Deficiencies 2004; 3.
  5. Smith D. Atlas of Amputations and Limb Deficiencies 2004; 3.


Drs. Twichell and Murdock have no relevant relationships with any entities producing health care goods or services.

Dr. Munin has financial interests with the following any entity or entities producing health care goods or services as indicated below:

  • Consultant: Ipsen, Inc.

Accreditation Statement:

The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The University of Pittsburgh School of Medicine designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits™. Each physician should only claim credit commensurate with the extent of their participation in the activity. Other health care professionals are awarded (0.05) continuing education units (CEU) which are equivalent to 0.5 contact hour.

For your credit transcript, please access our website 4 weeks post-completion at and follow the link to the Credit Transcript page. If you do not provide the last 5 digits of your SSN on the next page you will not be able to access a CME credit transcript. Providing your SSN is voluntary.

Release Date: 1/14/2014 | Last Modified On: 1/14/2014 | Expires: 1/14/2015

This course has been expired.