Rehabilitation of patients after hip disarticulation

Dénes, Zoltán; Till, Attila

doi:10.1007/bf00387586

Cited by 38 publications

(32 citation statements)

References 7 publications

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“…Predictably, complications after hip disarticulation are frequent, not only due to the extent of surgery, but also because patients often present extreme situations, with multiple comorbidities and hemodynamic instability. The literature presents controversial results on mortality after hip disarticulation; the rates vary according to the indication, clinical status of the patient, and the degree of urgency of the surgery 6, 7, 8, 9, 10. In the present study, it is evident that the best survival rates were observed in elective surgery, particularly in infectious and tumor causes.…”

Section: Discussionmentioning

confidence: 60%

“…Presence of ischemia associated with limb infection and heart disease was the greatest predictor of mortality. Dénes and Till 7 analyzed a series of 63 dislocations, whose indications were arterial ischemia ( n = 34), tumor ( n = 24), and infection ( n = 4). Surgical wound complications were observed in 64.86% of the patients whose disarticulation had vascular cause and in 20.83% of those with tumor cause.…”

Section: Discussionmentioning

confidence: 99%

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Hip disarticulation – case series analysis and literature review

Moura

Garruço

2017

Revista Brasileira de Ortopedia (English Edition)

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ObjectiveTo present a retrospective study of 16 patients submitted to hip disarticulation.MethodsDuring the period of 16 years, 16 patients who underwent hip disarticulation were identified. All of them were studied based on clinical records regarding the gender, age at surgery, disarticulation cause, postoperative complications, mortality rates and functional status after hip disarticulation.ResultsHip disarticulation was performed electively in most cases and urgently in only three cases. The indications had the following origins: infection (n = 6), tumor (n = 6), trauma (n = 3), and ischemia (n = 2). The mean post-surgery survival was 200.5 days. The survival rates were 6875% after six months, 5625% after one year, and 50% after three years. The mortality rates were higher in disarticulations with traumatic (66.7%) and tumoral (60%) causes. Regarding the eight patients who survived, half of them ambulate with crutches and without prosthesis, 25% walk with limb prosthesis, and 25% are bedridden. Complications and mortality were higher in the cases of urgent surgery, and in those with traumatic and tumoral causes.ConclusionHip disarticulation is a major ablative surgery with obvious implications for limb functionality, as well as high rates of complications and mortality. However, when performed at the correct time and with proper indication, this procedure can be life-saving and can ensure the return to the home environment with a certain degree of quality of life.

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Section: Discussionmentioning

confidence: 60%

Section: Discussionmentioning

confidence: 99%

Hip disarticulation – case series analysis and literature review

Moura

Garruço

2017

Revista Brasileira de Ortopedia (English Edition)

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“…The main reason was related to the especial design of socket of this prosthesis which encloses the pelvic [4, 7]. Therefore, the range of motion of pelvic was significantly restricted in both sides as the upper brim of the socket also surrounded the trunk.…”

Section: Discussionmentioning

confidence: 99%

“…The main reasons for amputation at this level are vascular impairment, malignancy, and tumor [1, 3]. Those with hip disarticulation miss their abilities to stand and walk efficiently (without use of crutch or walker) and have to use especial prosthesis [2, 4]. Various types of components have been designed for hip disarticulation and hip pelvectomy to enable the subject to stand and walk [4, 5]; however, they have several problems including high energy consumption during walking, slow walking speed, style of walking which is not cosmetically appealing, and limitation in range of motion of leg joints [6–10].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Gait Performance of a Hemipelvectomy Amputation Walking with a Canadian Prosthesis

Karimi

Kamali

Omar

et al. 2014

Case Reports in Orthopedics

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Background. Hemipelvectomy amputation is a surgical procedure in which lower limb and a portion of pelvic are removed. There are a few studies in the literature regarding the performance of subjects with hip disarticulation during walking. However, there is no study on gait analysis of hemipelvectomy subject. Therefore, the aim of this paper was to evaluate the gait and stability of subject with hemipelvectomy amputation. Case Description and Methods. A subject with hemipelvectomy amputation at right side was involved in this study. He used a Canadian prosthesis with single axis ankle joint, 3R21 knee joint, and 7E7 hip joint for more than 10 years. The kinetic and kinematic parameters were collected by a motion analysis system and a Kistler force platform. Findings and Outcomes. There was a significant difference between knee, hip, and ankle range of motions and their moments in the sound and prosthesis sides. In the other side, the stability of the subject in the anteroposterior direction seems to be better than that in the mediolateral direction. Conclusions. There was a significant asymmetry between the kinetic and kinematic performance of the sound and prosthesis sides, which may be due to lack of muscular power and alignment of prosthesis components.

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“…All subjects have serious diseases and undergo a deconditioning process that begins before their surgery and continues after. Young HD amputees with no serious underlying disease may recover from a deconditioned state relatively easily, giving them high probability of success in prosthetic walking [1][2][10][11].…”

Section: Introductionmentioning

confidence: 99%

Energy consumption during prosthetic walking and physical fitness in older hip disarticulation amputees

Chin¹,

Kuroda²,

Akisue³

et al. 2012

JRRD

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Abstract-The objective of this study is to investigate energy consumption during prosthetic walking and physical fitness in older hip disarticulation (HD) subjects and to examine the ambulatory outcome in a community setting. The subjects were seven unilateral HD amputees with an average age of 67.7 +/-3.9 yr. Energy consumption was measured during prosthetic walking at each individual's comfortable walking speed (CWS) by means of a portable telemetric system. An incremental exercise test was performed to evaluate fitness. The average CWS for the subjects was 30.5 +/-9.6 m/min. The average oxygen consumption rate at each CWS was 18.3 +/-2.4 mL/kg/min, and the average oxygen cost was 0.639 +/-0.165 mL/kg/m. The maximum oxygen uptake during exercise as a proportion of predicted maximum oxygen uptake (%VO 2 max) for the subjects was 57.2 +/-11.1. Five subjects continued prosthetic walking on return to their communities. Two subjects abandoned prosthetic walking. The %VO 2 max for the five who continued prosthetic walking after discharge ranged from 55.8 to 72.0. The subjects who abandoned prosthetic walking had lower %VO 2 max of 43.3 and 44.2. Energy consumption during prosthetic walking at CWS seemed not to be excessive. Older HD amputees in good physical condition were able to successfully walk with a prosthesis in a community setting. A lower level of fitness appears to make community walking prohibitive.

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Rehabilitation of patients after hip disarticulation

Cited by 38 publications

References 7 publications

Hip disarticulation – case series analysis and literature review

Hip disarticulation – case series analysis and literature review

Evaluation of Gait Performance of a Hemipelvectomy Amputation Walking with a Canadian Prosthesis

Energy consumption during prosthetic walking and physical fitness in older hip disarticulation amputees

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