Physical therapy protocols for patients with a megaprosthesis after bone tumor resection

Area of Science:

• Orthopedic Oncology
• Rehabilitation Medicine
• Biomedical Engineering

Background:

• Bone tumors often require surgical resection and reconstruction with megaprostheses.
• Effective physical therapy is crucial for functional recovery in these patients.
• Standardized, evidence-based protocols are needed to guide physical therapists.

Purpose of the Study:

• To provide evidence-based guidance for physical therapists.
• To develop practical physical therapy protocols for patients treated with bone tumor resection and megaprostheses.
• To enhance post-operative care and functional outcomes.

Main Methods:

• Explorative literature search and consensus procedures involving orthopedic oncologic surgeons and physical therapists.
• Development and 1-year piloting of physical therapy protocols in patient care.
• Protocol refinement based on clinical experience and updated literature.

Main Results:

• Developed physical therapy protocols for six types of megaprostheses (hemipelvectomy, proximal femur, distal femur, total femur, proximal tibia, proximal humerus).
• Protocols are applicable to adult patients undergoing bone tumor resection and reconstruction.
• Protocols include specific goals, exercise therapy, and clinical considerations.

Conclusions:

• Practical, evidence-based physical therapy protocols have been established.
• These protocols offer essential guidance for physical therapists.
• The protocols aim to improve the management of patients undergoing bone tumor resection and megaprosthesis reconstruction.