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Hemicorporectomy: a case study from a physical therapy perspective

T L Porter-Romatowski1, J Deckert

  • 1Physical Therapy Department and School of Physical Therapy, University of Texas Medical Branch at Galveston, USA.

Archives of Physical Medicine and Rehabilitation
|April 29, 1998
PubMed
Summary
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Hemicorporectomy, a radical surgery to remove the lower body, is a last resort for severe pelvic conditions. This case study details the physical therapy rehabilitation of a patient post-hemicorporectomy.

Area of Science:

  • Surgical Oncology
  • Rehabilitation Medicine
  • Physical Therapy

Background:

  • Hemicorporectomy is a rare, life-saving surgical procedure for advanced pelvic malignancies and trauma.
  • Indications include advanced pelvic tumors, osteomyelitis, trauma, and intractable decubiti.
  • Literature review reveals fewer than 45 documented hemicorporectomies, with limited focus on rehabilitation.

Observation:

  • A 49-year-old male patient with paraplegia underwent hemicorporectomy for squamous cell carcinoma confined to the pelvic region.
  • The patient presented with extensive perineal and sacral sores.
  • This case highlights a rare surgical intervention for a life-threatening pelvic condition.

Findings:

  • The report details the surgical procedure and subsequent physical therapy.

Related Experiment Videos

  • Physical rehabilitation was achieved within a less than one-month timeframe.
  • This contrasts with literature suggesting extensive and prolonged rehabilitation courses.

    • Implications:

    • This case study offers a physical therapy perspective on hemicorporectomy rehabilitation.
    • It suggests that intensive, focused physical therapy can expedite recovery in select patients.
    • Further research is needed to establish optimal rehabilitation protocols for hemicorporectomy survivors.