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首页> 外文期刊>Physiotherapy theory and practice >Rehabilitation considerations for a patient with external hemipelvectomy and hemisacrectomy for recurrent soft tissue pelvic sarcoma: a case report
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Rehabilitation considerations for a patient with external hemipelvectomy and hemisacrectomy for recurrent soft tissue pelvic sarcoma: a case report

机译：复发性软组织盆腔肉瘤的外部半盆切除术和半ac切除术患者的康复注意事项：一例报告

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Background and purpose: External hemipelvectomy (EHP) is an uncommon procedure involving surgical amputation of the lower extremity and hemipelvis. Soft tissue sarcomas of the pelvis are rare and accompanied by a high risk of disease progression after surgical intervention. The purpose of this case report is to describe the rehabilitation considerations and importance of interdisciplinary collaboration to achieve functional goals to allow discharge with improved independence and decreased caregiver burden. Case description: A 58-year-old Caucasian male patient underwent a hemipelvectomy and hemisacrectomy for treatment of a recurrent pelvic soft tissue sarcoma following 4 months of bed confinement secondary to pain and weakness of the involved lower extremity. This report outlines the physical therapy interventions during 3 weeks of inpatient rehabilitation. Conclusion: This case demonstrates that continuous interdisciplinary care of a complex patient with EHP and hemisacrectomy contributes to significant improvement in functional mobility exceeding prior level of function. This case is particularly interesting because in addition to having a rare diagnosis and undergoing an uncommon surgical procedure, this patient was confined to bed for 4 months prior to surgical intervention, and thus began rehabilitation with a baseline of limited functional mobility and high caregiver burden.
机译：背景与目的：外部半盆切除术（EHP）是一种罕见的手术，涉及下肢和半盆腔的手术截肢。骨盆的软组织肉瘤很少见，伴随外科手术后疾病进展的高风险。本病例报告的目的是描述康复方面的考虑和跨学科合作以实现功能性目标的重要性，以实现出院时改善独立性并减轻护理人员负担。病例描述：一名58岁的白人男性患者接受了半盆腔切除术和半ectomy腔切除术，以治疗继发于疼痛和下肢无力的卧床4个月后复发的盆腔软组织肉瘤。该报告概述了住院康复3周期间的物理治疗干预措施。结论：该病例表明，对EHP和半髋切除术的复杂患者进行持续的跨学科护理有助于功能性活动能力的显着改善，超过了先前的功能水平。该病例特别有趣，因为除了具有罕见的诊断和不常见的外科手术之外，该患者在进行外科手术之前被限制卧床4个月，因此以功能受限和照顾者负担有限的基线开始康复。

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