Functional outcome measures of patients following hemipelvectomy

Abstract

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.

Hemipelvectomy

“…They evaluated energy expenditure for eight patients with hip disarticulation and ten patients with hemipelvectomies. 42 There was a marginal statistical difference between a control group and the patient groups (P = 0.06) but no difference (P = 0.44) in the time it took to negotiate the stairs using a prosthesis or crutches. 38 Significant reduction in energy consumption between hip disarticulation and hemipelvectomy has not been demonstrated.…”

“…Comfortable walking speeds with hip disarticulation and hemipelvectomy-level amputation were 51%Y61% of controls, but there was no difference in O 2 uptake per minute among the three groups. 42 38 A cross-sectional descriptive study from the Netherlands showed that patients achieve a relatively high level of activity after hip disarticulation and hemipelvectomy but experience considerable limitations in walking, standing, sitting, and climbing stairs.…”

A Surgeon’s Perspective on Lower Extremity Amputation and Rehabilitation

“…Historically, patients who had this procedure found themselves unable to ambulate without a wheelchair [36]. Ambulating requires: control of the stance and swing phases of gait, a stable prosthesis, and balance; all of which use supplementary energy compared to normal gait [37]. The weight and size of the prosthesis can be cumbersome and may limit a patient's ability to perform Activities of Daily Living (ADLs) as compared to able-bodied individuals as they spend up to 125% of the energy just to ambulate [38].…”

“…The weight and size of the prosthesis can be cumbersome and may limit a patient's ability to perform Activities of Daily Living (ADLs) as compared to able-bodied individuals as they spend up to 125% of the energy just to ambulate [38]. Given the energy burden from prosthesis many amputees ambulate with a crutch instead of prosthesis, and recent studies indicate that their functional scores are similar to those of amputations more distal in the lower extremity [37]. A recent study in the rehabilitation literature indicates patients who underwent transpelvic amputations often were never offered prosthesis [39].…”

The importance of the rehabilitation program following an internal hemipelvectomy and reconstruction with limb salvage – gait analysis and outcomes: a case study

“…The majority of studies focused on prosthetic use and basic functional outcome measures. Houdek [10] found that the walking speed of hemipelvectomy patients using a prosthesis was slower compared to those using crutches; Akiyama [11] found hemipelvectomy patients' gait pattern was improved by the use of a hip stabilizer; and Benedetti [12] concluded that walking speed and stride length were reduced in all patients with prosthetic reconstruction compared to a control group.…”