After an above the knee amputation, how should the patient lie to prevent complications?

After an above-the-knee amputation, it is crucial for the patient to lie prone (face down) to prevent complications such as contractures and to promote proper residual limb healing. By lying prone, the residual limb is positioned in a way that helps to stretch the hip flexors and prevent the development of flexion contractures, which can occur if the patient remains in a supine (on the back) position for extended periods. This positioning encourages better alignment of the joint and helps the patient prepare for the fitting of a prosthesis.

In contrast, lying supine can put the residual limb at risk for contractures due to the hip being in a flexed position, while lateral positioning does not effectively combat this risk. Sitting does not provide the same benefits and can increase the chances of complications. Hence, the prone position is the most beneficial for the patient’s recovery and overall mobility post-surgery.