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Hemipelvectomy

 

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Hemipelvectomy



 
 
A hemipelvectomy is a high level pelvic amputation
Amputation

Amputation is the removal of a body extremity by Physical trauma or surgery. As a surgical measure, it is used to control pain or a disease process in the affected limb, such as cancer or gangrene....
. Along with hip disarticulations, hemipelvectomies are the rarest of lower extremity amputations. In some cases, an internal hemipelvectomy can be performed, which is a limb-sparing procedure. A complete hemipelvectomy, however, is the amputation of half of the pelvis
Pelvis

The pelvis or pelvic girdle is the irregular bone structure located at the base of the spine . In the adult human, it is formed by the sacrum and the coccyx, the caudal part of the axial skeleton, and a pair of hip bones, part of the appendicular skeleton or human leg....
 and the leg
Leg

Leg may refer to the following places in Poland:*A former name for the town of Elk *Leg, Lower Silesian Voivodeship *Leg, Kuyavian-Pomeranian Voivodeship ...
 on that side. This type of procedure is also called transpelvic amputation.

Hemipelvectomies may be required for several reasons, such as a car accident or cancer.






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Encyclopedia


A hemipelvectomy is a high level pelvic amputation
Amputation

Amputation is the removal of a body extremity by Physical trauma or surgery. As a surgical measure, it is used to control pain or a disease process in the affected limb, such as cancer or gangrene....
. Along with hip disarticulations, hemipelvectomies are the rarest of lower extremity amputations. In some cases, an internal hemipelvectomy can be performed, which is a limb-sparing procedure. A complete hemipelvectomy, however, is the amputation of half of the pelvis
Pelvis

The pelvis or pelvic girdle is the irregular bone structure located at the base of the spine . In the adult human, it is formed by the sacrum and the coccyx, the caudal part of the axial skeleton, and a pair of hip bones, part of the appendicular skeleton or human leg....
 and the leg
Leg

Leg may refer to the following places in Poland:*A former name for the town of Elk *Leg, Lower Silesian Voivodeship *Leg, Kuyavian-Pomeranian Voivodeship ...
 on that side. This type of procedure is also called transpelvic amputation.

Hemipelvectomies may be required for several reasons, such as a car accident or cancer. Examples of cancers that can require hemipelvectomies are sarcoma
Sarcoma

A sarcoma is a cancer of the connective tissue resulting in mesoderm proliferation.This is in contrast to Carcinoma, which are of Epithelium origin ....
s like Ewing's Sarcoma
Ewing's sarcoma

Ewing sarcoma is a malignant round-cell tumor. It is a rare disease in which cancer cells are found in the bone or in soft biological tissue. The most common areas in which it occurs are the pelvis, the femur, the humerus, and the ribs....
, osteosarcoma
Osteosarcoma

Osteosarcoma is the most common type of malignant bone cancer, accounting for 35% of primary bone malignancies. There is a preference for the metaphysis region of tubular long bones....
 or chondrosarcoma
Chondrosarcoma

A chondrosarcoma is a type of cancer of the bone. Chondrosarcoma is a cartilage-based tumor and is in a category of cancers called sarcomas. About 25% of primary bone cancers are chondrosarcomas....
.

People who have experienced a hemipelvectomy may or may not be able to use a prosthesis
Prosthesis

In medicine, a prosthesis is an artificial extension that replaces a missing body part. It is part of the field of biomechatronics, the science of fusing mechanical devices with human muscle, skeleton, and nervous systems to assist or enhance motor control lost by trauma, disease, or defect....
. They may use adaptive devices such as a wheelchair
Wheelchair

A wheelchair is a wheeled mobility device in which the user sits. The device is propelled either manually or via various automated systems. Wheelchairs are used by people for whom walking is difficult or impossible due to illness , injury, or disability....
, underarm crutches, forearm crutches, or, in the case of internal hemipelvectomies, a cane
Cane

A cane is a long, straight wooden stick, generally of bamboo, or some similar plant, mainly used as a support, such as a walking stick, or as an instrument of corporal punishment....
.

Physical therapy
Physical therapy

Physical therapy is a health care profession which provides services to individuals and populations to develop, maintain and restore maximum movement and functional ability throughout life....
 can be useful to those with hemipelvectomies to build strength and prevent problems like back pain and scoliosis
Scoliosis

Scoliosis is a medical condition in which a person's Vertebral column is curved from side to side, shaped like a "s", and may also be rotated....
. Because a hemipelvectomy is a rare type of amputation, a physical therapist trained in the special needs of a post-hemipelvectomy patient is important.

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