Article

Prosthetic rehabilitation after pelvic-level amputation
(hemipelvectomy/hip disarticulation) is difficult, and because of this, many
patients are never fit with a prosthetic limb. The objectives of the study were
to evaluate the characteristics of successful prosthetic users and to determine
what factors are associated with successful prosthetic fitting and use. DESIGN:
The authors identified 43 patients who underwent hip
disarticulation/hemipelvectomy between 2000 and 2010 and were candidates for
prosthetic fitting at the authors' institution. The medical records of these
patients were then reviewed for pertinent demographic and medical characteristics
to identify the profile of successful prosthetic users. RESULTS: Of 43 patients,
18 (43%) successfully used a prosthetic limb. The only preoperative factor
associated with unsuccessful prosthetic fitting was coronary artery disease.
Specifically, age, body mass index, other medical comorbidities, and demographic
characteristics were not associated with successful or unsuccessful prosthetic
fitting. Successful users wore their prosthesis an average of 5.8 hrs/day, and
most ambulated with one or both hands free. CONCLUSIONS: Successful prosthetic
rehabilitation after hemipelvectomy and hip disarticulation is possible.
Increased body mass index, advanced age, depression, and other comorbidities
should not discourage prosthetic rehabilitation. Most patients that undergo
prosthetic rehabilitation enjoy long periods of survival and wear their
prosthesis for most of the day.

Langue : ANGLAIS