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Topic: Hemipelvectomy

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	Science Fair Projects - Hemipelvectomy
		A complete hemipelvectomy, however, is the amputation of half of the pelvis and the leg on that side.
		Hemipelvectomies may be required for several reasons, such as a car accident or cancer.
		Because a hemipelvectomy is a rare type of amputation, a physical therapist trained in the special needs of a post-hemipelvectomy patient is important.
	www.all-science-fair-projects.com /science_fair_projects_encyclopedia/Hemipelvectomy (332 words)

	Traumatska hemoipelvectomia
		It is characterised by the separation of pubic bones from the pubic symphysis and the sacrum, highly devastated soft parts within the ingvinal region, the avulsion of iliac blood veins, and a severe avulsion injury or rupture of the femoral, respectively ishiadic nerve.
		Hemipelvectomy is a radical surgical operation, saving the life of patients with extremely severe injuries of the pelvis.
		It is necessary to consider the indication of hemipelvectomy, if dealing with an open rupture of pelvis, a rupture of large veins or a damage of the lumbosacral plexus, where skin and muscles do not show a significant defect.
	www.ten-hrvatska.com /traumatska_hemoipelvectomia.htm (1730 words)

	Rehabilitation after Hemipelvectomy, pg. 61--69
		One month after the hemipelvectomy, a two and one-half inch left-sided external shows lift was provided to compensate for three-inch leg length lengthening on the right, to facilitate swing through on the right during walker ambulation.
		She was readmitted to the hospital via the emergency room again, approximately six months after the hemipelvectomy and six weeks after discharge from rehabilitation, with increased swelling and more pain in the right lower limb despite therapeutic coumadin levels.
		Finally, external shoe lifts on hemipelvectomy patients should be made of lightweight materials, such as cork, and slightly flaring the bottom of the lift for a broader base of support and to enhance distal stability and proprioceptive feedback is recommended.
	www.uphs.upenn.edu /ortho/oj/2001/html/oj14sp01p61.html (5335 words)

	Connective Tissue Oncology Society - Poster
		Reconstruction of such a soft tissue defect after hemipelvectomy may be accomplished with a free fillet leg flap.
		A posterior approach was made to the popliteal fossa, and the popliteal vessels were dissected free before initiating the hemipelvectomy, to decrease the warm ischemia time of the flap.
		Upon conclusion of the dissection, the hemipelvectomy was completed with the last maneuver being ligation of the external iliac vessels.
	www.ctos.org /meeting/1999/posters/poster09.html (464 words)

	References
		Gebhart 1988 Gebhart M, Collignon A, Lejeune F. Modified hemipelvectomy: conservation of the upper iliac wing and an anterior musculo-cutaneous flap.
		External and internal hemipelvectomy for sarcomas of the pelvic girdle: consequences of limb-salvage treatment.Eur J Surg Oncol 1997 Dec;23(6):540-6.
		Hemipelvectomy and intraoperative radiotherapy for bone and soft tissue sarcomas of the pelvic girdle.
	orthopaediccare.net /view/templates/Reference_List.asp?chapterid=onc1060aa (839 words)

	Medscape MEDLINE search: Hemipelvectomy
		In posterior flap hemipelvectomy, preservation of the gluteus maximus with the flap guarantees its viability regardless of the level of ligation of the iliac vessels.
		Traumatic hemipelvectomy is a rare but devastating injury involving complete disruption of the hemipelvis from the pubic symphysis to the sacroiliac joints and often results in death.
		We report the case of a white male who underwent a classic hemipelvectomy due to a femur fibrosarcoma with inguinal metastases, which 33 years later, developed into a posthemipelvectomy hernia in the amputation stump that impaired the use of his Canadian prosthesis.
	search.medscape.com /uslclient/searchMedline.do?queryText=Hemipelvectomy (875 words)

	European Journal of Trauma
		Purpose: Open or closed traumatic hemipelvectomy is defined as a uni- or bilateral avulsion of the bony hemipelvis in combination with rupture of the large pelvic nerves and vessels and is usually accompanied by injuries of the genitourinary tract and bowel.
		Seven patients were admitted directly to the authors' trauma center, one patient was admitted 3 h after the accident, and one patient was stabilized in another hospital and transferred 5 days later.
		The traumatic hemipelvectomy was unilateral in eight patients with one complete avulsion and bilateral in one patient.
	www.europeantrauma.net /journal/regular_contents/detail/315 (309 words)

	Prosthetic/Orthotic Management After Recent Hemipelvectomy for a Myelomeningocele Patient - Journal of Prosthetics and ...
		After a thorough physical and functional evaluation, a modified hemipelvectomy socket design that would be used as a prototype device, was chosen.
		This socket design would provide the needed upward oblique pressure on the abdominal viscera, which is tolerable to the patient, and provide lateral support to the amputated side while carefully incorporating flexibility and freedom of movement (4) (see Figure 2).
		The negative mold was then filled, and traditional hemipelvectomy modifications were performed with special emphasis for pressure distribution on the bound-down scar area in the lumbar region, as well as thoracic support for the amputated side (see Figures 4a, 4b, 4c and 4d).
	www.oandp.org /jpo/library/1992_02_093.asp (1998 words)

	A Young Hemipelvectomy Patient \| JACPOC Library, 1976 \| ACPOC - Association of Children's Prosthetic-Orthotic Clinics
		His prosthetic care and follow-up are discussed in this article, from fitting with a bucket socket for sitting balance to fitting with a standard hemipelvectomy prosthesis.
		Biopsy was done on the second day after birth, and at age eight days a right hemipelvectomy was performed at Children's Hospital of Pittsburgh.
		At six months of age, Michael was measured and fitted with a hemipelvectomy socket for sitting (Figure 1-A).
	www.acpoc.org /library/1976_03_009.asp (1019 words)

	Acute and Subacute Physical Therapy Management for a Patient Status Postexternal Hemipelvectomy due to Chondrosarcoma ...
		Purpose: The purpose of this case report is to describe the acute and subacute physical therapy management for a patient with an external hemipelvectomy (EHP) due to chondrosarcoma of the pelvis.
		Summary: The subject is a 44-year-old male diagnosed with chondrosarcoma of the pelvis and underwent an EHP amputation.
		Due to the size of the tumor and soft tissue involvement as found by the preoperative imaging, a formal extended hemipelvectomy (excision of the pelvis and part of the sacrum) was necessary to ensure complete removal of the tumor and ensure negative margins.
	www.findarticles.com /p/articles/mi_qa3946/is_200501/ai_n15348082 (866 words)

	International Seminars in Surgical Oncology \| Full text \| Research: Is resection of tumours involving the pelvic ring ...
		Of the internal hemipelvectomy, Type 3 and Type 4 pelvic resections have the best mean overall functional scores and are both in the range of excellent functional result.
		All internal hemipelvectomy have mean emotional acceptance score of greater than 4 except combined type 2 and 3 pelvic resection, combined type 1 and 4 resection, and type 4 resection.
		In recent years, hemipelvectomy is only performed for patients in whom extensive bone or soft tissue resection makes reconstruction difficult or leaves the leg with poor function.
	www.issoonline.com /content/2/1/9 (3091 words)

	Congress Abstracts 2005 (Site not responding. Last check: 2007-10-10)
		When these tumors involve the sacrum and pelvis and hip joint, hemipelvectomy is often required in order to achieve cure for the patient.
		The purpose of this presentation is to raise the awareness and prepare nurses to care for patients requiring surgical intervention with external hemipelvectomy.
		Experienced nurses providing care for the hemipelvectomy patient are vital to positive patient outcomes in the timely transition of patients from the in patient setting to out patient setting.
	onsopcontent.ons.org /meetings/2006abstracts/CongressAbs/abstract315.shtml (370 words)

	Resection and reconstruction for primary neoplasms involving the - Wheeless' Textbook of Orthopaedics
		1978 Sep; 60(6): 731-46 Using described criteria for the selection of patients for excision or resection of tumors involving various portions of the innominate bone, as opposed to hemipelvectomy, fifty-seven out of the more than 200 patients evaluated were judged to be candidates for a curative procedure.
		Of these, twenty-five were selected for hemipelvectomy and thirty-two, for non-amputative procedures.
		Depending on the location and extent of the lesion as determined by complete preoperative work-ups, three types of procedures were performed singly or in combination:(1) wide excision or radical resection of the iliac wing; (2) periacetabular wide excision or radical resection; or (3) wide excision or radical resection of the pubis.
	www.wheelessonline.com /ortho/resection_and_reconstruction_for_primary_neoplasms_involving_the_1 (329 words)

	1112-1118
		Here we report the results of hemipelvectomy for advanced decubitus ulcers in SCI patients in a large, non-referral-based medical system.
		The most common indication for hemipelvectomy is cancer, with a reported mortality rate of 2-3%.1,2
		Some of the complications appeared to be related more to the SCI than to the pelvic sepsis or surgery, suggesting that meticulous peri-operative care may be valuable in reducing the complication rate in SCI patients undergoing this radical operation for very severe sequelae of pressure ulcers.
	www.plasticsurgery.org /PSF/PSFHOME/educate/abstracts/Sunday/B/1112-1118.htm (368 words)

	Surgical and Prosthetic-Orthotic Treatment of Patients with Unilateral Congenital or Early Childhood Hip ...
		The deformities, in turn, could lead to abnormal development of the remaining hip joint, causing dysplasia, hip subluxation, and probably eventual dislocation, unless treatment is initiated.
		Prosthetic-orthotic management, combining a spinal orthosis with a leg disarticulation or hemipelvectomy prosthesis, was used.
		At least half of the patients, however, required surgical reconstruction using pelvic or femoral osteotomy of the remaining hip, or both.
	www.acpoc.org /library/1988_02_037a.asp (193 words)

	Hemipelvectomy and Hip-Disarticulation Amputee Support and Information Site
		A non-profit, comprehensive, educational resource for high pelvic level amputees, Hemipelvectomy and Hip-Disarticulation.
		Created by a Physician who has been a hemipelvectomy for over 37 years.
		It is highly recommended you consult with your professional health care providers for guidance.
	hphdhelp.org (97 words)

	Anterior thigh myocutaneous flap for reconstruction after external hemipelvectomy performed to treat a buttock squamous ... (Site not responding. Last check: 2007-10-10)
		Anterior thigh myocutaneous flap for reconstruction after external hemipelvectomy performed to treat a buttock squamous cell carcinoma: case report
		Hemipelvectomy utilizing an anterior myocutaneous flap is indicted for extensive tumors of the buttock and posterior proximal portion of the thigh.
		A 49-year-old man came to the clinic with a tumor that had been progressively growing over three years.
	www.inca.gov.br /rbc/n_48/v02/english/report2.html (287 words)

	Amputation traumatique du membre inférieur et de l'hémi-bassin. Présentation de deux cas chez ...
		BEAL SL, BLAISDELL FW : Traumatic hemipelvectomy : a catastrophic injury.
		EVANS RN Jr., Foss FE : Traumatic hemipelvectomy in combination with traumatic amputation of an upper extremity.
		OPPENHEIM WL, TRICKER J, SMITH RB : Traumatic hemipelvectomy, the tenth survivor : a case report and a review of the literature.
	srvsofcot.sofcot.com.fr /Apcort/rco/rco93/79_8/art10/art10_b.htm (420 words)

	Arch Surg -- Abstract: Blood Supply of Hemipelvectomy Flaps: The Anterior Flap Hemipelvectomy, July 2001, Kulaylat et ...
		Arch Surg -- Abstract: Blood Supply of Hemipelvectomy Flaps: The Anterior Flap Hemipelvectomy, July 2001, Kulaylat et al.
		In posterior flap hemipelvectomy, preservation of the gluteus
		hemipelvectomy with the quadriceps femoris attached to the flap,
	archsurg.ama-assn.org /cgi/content/abstract/136/7/828 (104 words)

	Temas Livres
		Eight consecutive patients with malignant pelvic tumor who had undergone internal hemipelvectomy between 1993 and 2002 were reviewed in a retrospective study.
		The mean age of the patients was 51.3 at the time of surgery.
		The total hip arthroplasty or autoclaved autograft after internal hemipelvectomy provided an painfree weight-bearing reconstruction and acceptable functional results.
	www.isols.com.br /cd/html/rsPO005.htm (322 words)

	Pride Web Talk - GO GO travel scooter
		Or is the ultra a new and improved model.
		Hemipelvectomy w/Victory XL-4, 3 wheel Revo, 2-shoprider 888-4's, Invacare ranger II power chair, Arctic Cat 250 4x2, 2001 Chevy 3500 4x4 pick-up w/496 cid and allison 1000 automatic.
		The arm rest would be great cause I'm shy one leg, hip, and half of my pelvis, sit of a roho all the time and will be using it on the GO GO also, thanks for all your imput.
	webtalk.pridemobility.com /Forums/showthread.php?threadid=8203 (1999 words)

	Cancer Survivor Books Lenor Madruga Chappell Amputees Survivors
		On the morning of her thirty-second birthday, she discovered a hard lump in her groin and subsequently underwent a hemipelvectomy: removal of her left leg and hip.
		Her victorious story is an inspiration not only to the millions of amputees throughout the world, but to all who face physical or emotional trauma.
		She describes her insidious addiction to opiate painkillers, her doctor's sharp words that made her quit "cold turkey," and the courageous change of attitude that enabled her to adjust to the pain, although it has not changed to this day.
	www.rogueweb.com /lenor/buy.html (361 words)

	Hip-Disarticulation and Hemipelvectomy Prostheses - A Manual for Above-Knee Amputees (Site not responding. Last check: 2007-10-10)
		For these prostheses, the socket is either of laminated plastic or a thermoplastic, and the construction is usually modular that is, pylon, or endoskeletal, because this type of construction results in a relatively lightweight prosthesis.
		The hemipelvectomy prosthesis presents an added problem to the prosthetist because there is no ichial bone present to aid in weight bearing.
		All of the instructions given about use of the above-knee prosthesis apply equally to the hip-disarticulation and hemipelvectomy prostheses.
	www.oandp.com /resources/patientinfo/manuals/ak16.htm (144 words)

	NLLIC Topic of the Month: Hemipelvectomy and Hip Disarticulation
		ISBN 0-9724303-0-X Cale Kenney had a hemipelvectomy amputation at age 19 as a result of a motorcycle accident.
		Doug Smith describes the hip disarticulation and transpelvic (hemipelvectomy) amputation levels and looks at the special challenges amputees at these levels face.
		Formerly, these were referred to as “partial” or “complete hemipelvectomy.” These terms are still commonly used in the medical and surgical literature; therefore, any search of literature should include both terms.
	www.amputee-coalition.org /nllic_topic/1006_hphd.html (1135 words)

	Hemipelvectomy - Wikipedia, the free encyclopedia
		In some cases, an internal hemipelvectomy can be performed, which is a limb-sparing procedure.
		Examples of cancers that can require hemipelvectomies are sarcomas like Ewing's Sarcoma, osteosarcoma or chondrosarcoma.
		This page was last modified 16:40, 5 November 2006.
	en.wikipedia.org /wiki/Hemipelvectomy (213 words)

	Composite Pelvic Exenteration: Is It Worthwhile? -- Lopez and Luna-Pérez 11 (1): 27 -- Annals of Surgical ...
		pubic rami in 4, and hemipelvectomy was performed in 3.
		4, and portions of ischiopubic rami in 4, and hemipelvectomy
		Lopes A, Rossi BM, de Oliveira Ferreira F. Internal hemipelvectomy in the treatment of recurrent carcinoma of the colon: report of a case.
	www.annalssurgicaloncology.org /cgi/content/full/11/1/27 (3202 words)

	Arch Surg -- Abstract: Resection of malignant bone tumors of the pelvic girdle without extremity amputation, September ... (Site not responding. Last check: 2007-10-10)
		was 11.8% for wide local excision, 7.4% for internal hemipelvectomy, and
		internal hemipelvectomy was 58% and 41%, respectively, at five years
		compared with 17% for patients undergoing classical hemipelvectomy.
	archsurg.ama-assn.org /cgi/content/abstract/123/9/1121 (176 words)

	Amputees Of Hemipelvectomy Information
		Hemipelvectomy everything about hemipelvectomy high amputation of the leg.
		Hemipelvectomy Ohio willow wood dutch hemipelvectomy web site tracer cad computer prosthetic.
		A manual for above knee amputees hip dis articulation and hemipelvectomy prostheses most of the components designed for above knee prostheses are suitable for amputees who have lost function about.
	www.amputationews.com /amputees-of-hemipelvectomy.html (817 words)

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