Article

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.

Langue : ANGLAIS