Hemipelvectomy: high-level amputation surgery and prosthetic rehabilitation.

Abstract:

:The hemipelvectomy, most commonly performed for pelvic tumor resection, is one of the most technically demanding and invasive surgical procedures performed today. Adequate soft tissue coverage and wound complications after hemipelvectomy are important considerations. Rehabilitation after hemipelvectomy is optimally managed by a multidisciplinary integrated team. Understanding the functional outcomes for this population assists the rehabilitation team to counsel patients, plan goals, and determine discharge needs. The most important rehabilitation goal is the optimal restoration of the patient's functional independence. Factors such as age, sex, etiology, level of amputation, and general health play important roles in determining prosthetic use. The three main criteria for successful prosthetic rehabilitation of patients with high-level amputation are comfort, function, and cosmesis. Recent advances in hip and knee joints have contributed to increased function. Prosthetic use after hemipelvectomy improves balance and decreases the need for a gait aid. Using a prosthesis helps maintain muscle strength and tone, cardiovascular health, and functional mobility. With new advances in prosthetic components, patients are choosing to use their prostheses for primary mobility.

journal_name

Am J Phys Med Rehabil

authors

Houdek MT,Kralovec ME,Andrews KL

doi

10.1097/PHM.0000000000000068

subject

Has Abstract

pub_date

2014-07-01 00:00:00

pages

600-8

issue

7

eissn

0894-9115

issn

1537-7385

journal_volume

93

pub_type

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