Hemipelvectomy: High-Level Amputation Surgery and Prosthetic Rehabilitation

Matthew T. Houdek, Michael E. Kralovec, Karen L. Andrews

Research output: Contribution to journalReview articlepeer-review

4 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)600-608
Number of pages9
JournalAmerican Journal of Physical Medicine and Rehabilitation
Volume93
Issue number7
DOIs
StatePublished - Jul 2014

Keywords

  • Functional Outcomes
  • Hemipelvectomy
  • Prosthesis
  • Prosthetic Rehabilitation

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

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