Article

Major amputations are indicated for curative treatment of some tumors
of the pelvis. Previous literature suggests that patients with a hemipelvectomy
amputation are more efficient walking with crutches than using a prosthesis.
The purpose of this study was to evaluate whether modern prosthetic
use after hemipelvectomy may be a viable option for patients than in the past.
STUDY DESIGN: Case control trial. METHODS: We identified five patients who
underwent hemipelvectomy amputation and fit with high-level prosthetic
components. Patients were evaluated using a timed up and go, 5-m walk, 400-m
walk, and stair climb tests to evaluate functional performance with a prosthesis
and without. Short Form-36 scores were collected as well. These results were
compared to matched controls. RESULTS: There was a trend for faster locomotion
using crutches over wearing a prosthesis in the timed up and go, and 5-m and
400-m walk; no difference was seen in stair climbing. Short Form-36 scores showed
decreased physical component score, but equal mental component score compared to
the general population. CONCLUSION: Our results show that in addition to advances
in surgical techniques, prosthetic rehabilitation and management are beginning to
optimize functional mobility with the prosthesis. CLINICAL RELEVANCE: Patients
who use a modern prosthesis following hemipelvectomy demonstrated good clinical
function with and without their prosthesis. Although health status scores were
decreased in the physical component, mental component scores were equal to
healthy controls.
CI - (c) The International Society for Prosthetics and Orthotics 2015.

Langue : ANGLAIS