Rehabilitation Management of Hemicorporectomy

Cavalheiro, Daniela Potas; Teixeira, João Eduardo Marten; Braga, Daniela Paes de Almeida Ferreira; Pessoa, Claudia Vohringer; Ceregatti, Marina; Ingham, Sheila Jean McNeill

doi:10.1016/j.pmrj.2015.03.012

Cited by 4 publications

(2 citation statements)

References 15 publications

(18 reference statements)

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“…Zkrácení páteře snižuje tlak na spodinu těla a zlepšuje vyhlídky na zhojení rány. Páteř je většinou oddělována v segmentu L4-L5 nebo L3-L4 (4,5,6), méně často v segmentu L2-L3 ( 16) resp. L5-S1 (15,19).…”

Section: Obr 2 Peroperační Fotografie: a -Poloha Pacienta Na Operační...unclassified

Hemicorporectomy as the Highest Grade of En Bloc Sacrectomy

Štulík¹,

Hoch²,

Richtr³

et al. 2020

ACHOT

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Šimeček a Králík (15) v roce 1973 popsali první hemikorporektomii provedenou v České Republice, Antoš (osobní sdělení, dosud nepublikováno) provedl hemikorporektomii u 11 pacientů, první v roce 1999. V kazuis-tickém sdělení předkládáme náš případ pacienta s terminální pelvickou osteomyelitidou a následnou hemikorporektomii z pohledu páteřní chirurgie. KAZUISTIKAMuž, 19 let, byl zasažen elektrickým proudem s vysokým napětím a následně spadl z výšky 4 metry. Primárně byl ošetřen v traumacentru FN Plzeň s nálezem nestabilní tříštivé zlomeniny T10 (AO A3.3.) a paraplegií (Frankel A). Následující den byl pro mnohočetné popáleniny III. stupně na 25 % těla letecky transportován do FN Královské Vinohrady. Páteř byla ihned stabilizována ze zadního přístupu v rozsahu T8-T12, dále byla provedena nekrektomie 13 % popálenin a krytí dermoepidermálními štěpy. Pro rozvoj sakrálního dekubitu byla po Hemikorporektomie jako nejvyšší stupeň en bloc resekce sakraHemicorporectomy as the Highest Grade of En Bloc Sacrectomy

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Section: Obr 2 Peroperační Fotografie: a -Poloha Pacienta Na Operační...unclassified

Hemicorporectomy as the Highest Grade of En Bloc Sacrectomy

Štulík¹,

Hoch²,

Richtr³

et al. 2020

ACHOT

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“…Since 1961, the team that operated the first successful case of hemicorporectomy recognizes the importance of physical medicine and rehabilitation in this process. 12 However, in the literature there is nothing specific 13 about this deficiency, with rehabilitation issues being addressed within articles focused on surgical aspects, despite the importance of carrying out a rehabilitation with a multidisciplinary team. 14 Due to the low frequency of occurrence of hemicorporectomy, there are few opportunities to modify and improve the rehabilitation techniques for this deficiency.…”

Section: Introductionmentioning

confidence: 99%

Half man, half prosthesis: the rehabilitation of people with hemicorporectomy – case series

et al. 2021

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Hemicorporectomy is a procedure where the lumbar spine and spinal cord, pelvic bones and contents, lower extremities and external genitalia are surgically removed. The rehabilitation process, in addition to being prolonged and costly, is challenging. This article reports the rehabilitation process for hemicorporectomy and shows the innovative solutions for mobility for this disability for two cases of paraplegic patients: case 1 due to traumatic spinal cord injury due to firearm injury and case 2 due to lumbosacral myelomeningocele. They presented chronic pressure ulcer which evolved to neoplastic transformation. (squamous cell carcinoma - Marjolin's ulcer). The cases were submitted to L4 hemicorporectomy and were rehabilitated to ensure the right to mobility independence for activities of daily living; social inclusion; prevention of comorbidities and pluralization of disabilities. The rehabilitation involved the elaboration of a new prosthesis for the hemibody and improvement of functional capacity, within a gain of 6 - 11 points in the Functional Independence Measure (FIM). The principal changes happened in social interaction, locomotion and transfers to a bed/chair and toilet. Despite the body transformation, patients show gains in quality of life mainly for the social domain of World Health Organization Quality of Life instrument-brief version (WHOQOL-bref). In general, there is an increase in the scores of this instrument from 1.78% -19.25%. The evolution of social inclusion through the International Classification of Functioning, Disability and Health (ICF) reveals that patients are able to resume social, working, academic-professional life and recreation and leisure activities, reducing the number of severe and complete qualifiers from 90.91 to 60% when using the products appropriate assistive devices. Hemicorporectomy can be a therapeutic option for those in need, as it provides functionality without the need for caregivers and resumes educational, professional, economic and social aspects with gains in quality of life.

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Hemicorporectomy as a life-saving strategy for severe pelvic ring crush injury: a case report

Warr

Jaramillo

Franco

et al. 2018

Eur J Orthop Surg Traumatol

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Hemicorporectomy is an ultra-radical surgery used only in extreme circumstances. Initially used for advanced pelvic neoplastic diseases and intractable pelvic infection, it may also be the only treatment option in patients with crushed pelvic trauma, in cases there are no reconstruction options. This procedure has a high mortality, and its success depends on the multidisciplinary approach, both in the initial phase and in the rehabilitation process. We present the case of a young patient with severe pelvic trauma that required a hemicorporectomy as the only treatment option and review of the literature.

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Rehabilitation Management of Hemicorporectomy

Cited by 4 publications

References 15 publications

Hemicorporectomy as the Highest Grade of En Bloc Sacrectomy

Hemicorporectomy as the Highest Grade of En Bloc Sacrectomy

Half man, half prosthesis: the rehabilitation of people with hemicorporectomy – case series

Hemicorporectomy as a life-saving strategy for severe pelvic ring crush injury: a case report

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