Hemipelvectomy

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A hemipelvectomy is a high level pelvic amputation. 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 and the leg 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 sarcomas like Ewing's Sarcoma, osteosarcoma or chondrosarcoma.

People who have experienced a hemipelvectomy may or may not qualify for a prosthesis. They may use adaptive devices such as a wheelchair, underarm crutches, forearm crutches, or, in the case of internal hemipelvectomies, a cane.

Physical therapy can be useful to those with hemipelvectomies to build strength and prevent problems like back pain and scoliosis. 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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Acknowledgement and Attribution Regarding Sources of Content

Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .

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