Article

External hemipelvectomy (EHP) is an uncommon procedure
involving surgical amputation of the lower extremity and hemipelvis. Soft tissue
sarcomas of the pelvis are rare and accompanied by a high risk of disease
progression after surgical intervention. The purpose of this case report is to
describe the rehabilitation considerations and importance of interdisciplinary
collaboration to achieve functional goals to allow discharge with improved
independence and decreased caregiver burden. CASE DESCRIPTION: A 58-year-old
Caucasian male patient underwent a hemipelvectomy and hemisacrectomy for
treatment of a recurrent pelvic soft tissue sarcoma following 4 months of bed
confinement secondary to pain and weakness of the involved lower extremity. This
report outlines the physical therapy interventions during 3 weeks of inpatient
rehabilitation. CONCLUSION: This case demonstrates that continuous
interdisciplinary care of a complex patient with EHP and hemisacrectomy
contributes to significant improvement in functional mobility exceeding prior
level of function. This case is particularly interesting because in addition to
having a rare diagnosis and undergoing an uncommon surgical procedure, this
patient was confined to bed for 4 months prior to surgical intervention, and thus
began rehabilitation with a baseline of limited functional mobility and high caregiver burden.µ
- Cancer - amputation

Langue : ANGLAIS