Hemicorporectomy and Prosthetic Equipment. Report of a Case at 15 Years of Follow-up

Main Article Content

Walter Cerrutti
Gerardo Luis Gallucci
José David Freire†

Abstract

Hemicorporectomy or translumbar amputation is a radical surgery indicated in localized pelvic tumors, chronic osteomyelitis, severe trauma, and intractable decubitus ulcers in paraplegic patients. It has a death rate of about 50% and most of the patients are confined to a wheelchair. The equipment of the entire lower body is extremely complex. We report a case of a patient with a hemicorporectomy, sequel to pelvic osteomyelitis, his subsequent complete equipment, and his evolution after 15 years of follow-up.

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How to Cite
Cerrutti, W., Gallucci, G. L., & Freire†, J. D. (2021). Hemicorporectomy and Prosthetic Equipment. Report of a Case at 15 Years of Follow-up. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 86(6), 790-801. https://doi.org/10.15417/issn.1852-7434.2021.86.6.1135
Section
Case Presentations
Author Biographies

Walter Cerrutti, Centro de Ortopedia y Traumatología Quilmes, Buenos Aires, Argentina

Centro de Ortopedia y Traumatología Quilmes, Buenos Aires, Argentina

Gerardo Luis Gallucci, Orthopedics and Traumatology Service, Hospital Italiano de Buenos Aires, Autonomous City of Buenos Aires, Argentina

Orthopedics and Traumatology Service, Hospital Italiano de Buenos Aires, Autonomous City of Buenos Aires, Argentina

José David Freire†, Orthopedics and Traumatology Service, Hospital Italiano de Buenos Aires, Autonomous City of Buenos Aires, Argentina

Orthopedics and Traumatology Service, Hospital Italiano de Buenos Aires, Autonomous City of Buenos Aires, Argentina

References

1. Kredel FE. The role of pelvic evisceration in surgery (Discussion). Surgery 1951;30:76-94. PMID: 14845996

2. Kennedy CS, Miller EB, Mc Lean DS, Perlis MS, Dion RN, Horvitz VS. Lumbar ampution or hemicorporectomy
for advanced malignancy of the lower half of the body. Surgery 1960;48:357‐65. PMID: 14845996

3. Baker TC, Berkowitz T, Lord GB, Hankins HV. Hemicorporectomy. Br J Surg 1970;57(6):471-6.
https://doi.org/10.1002/bjs.1800570617

4. Terz JJ, Schaffner MJ, Goodkin R, Beatty JD, Razor B, Weliky A, et al. Translumbar amputation. Cancer
1990;65:2668-75. https://doi.org/10.1002/1097-0142(19900615)65:12<2668::aid-cncr2820651212>3.0.co;2-i

5. Abrams J, Hulbert J, Thompson R, Cerra F, Delaney J. Hemicorporectomy for acute aortic occlusion: A case study. Am Surgeon 1992;58:509-12. PMID: 1642392

6. Friedmann LW, Marin EL, Park YS. Hemicorporectomy for functional rehabilitation. Arch Phys Med Rehabil
1981;62:83-6. PMID: 7235890

7. Aust JB, Page CP. Hemicorporectomy. J Surg Oncol 1985;30(4):226-30. https://doi.org/10.1002/jso.2930300408

8. Miller TR. Translumbar amputation (hemicorporectomy). Prog Clin Cancer 1982;8:227-36. PMID: 7156403

9. Miller TR, Mackenzie AR, Randall HT, Tigner SP. Hemicorporectomy. Surgery 1966;59(6):988‐93. PMID: 5937972

10. Richtr P, Hoch J, Svobodová K, Jech Z. Hemicorporectomy - the ultimate solution of terminal pelvic sepsis. Acta
Chir Belg 2020;1‐5. https://doi.org/10.1080/00015458.2020.1722930

11. Gómez F, Ramos Galvan R, Frenk S, Cravioto Muñoz J, Chávez R, Vázquez J. Mortality in second and third degree malnutrition. J Trop Ped (Lond) 1956;2:77-83. https://doi.org/ 10.1093/oxfordjournals.tropej.a057419

12. Ware JE Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36) (I). Conceptual framework and
item selection. Med Care 1992;30:473-83. PMID: 1593914

13. Mahoney FI, Barthel DW. Functional evaluation: the Barthel Index. Md State Med J 1965;13:61-5. PMID: 14258950

14. Grise MC, Gauthier-Gagnon C, Martineau GG. Prosthetic profile of people with lower extremity amputation:
conception and design of a follow-up questionnaire. Arch Phys Med Rehabil 1993;74:862-70.
https://doi.org/10.1016/0003-9993(93)90014-2

15. Shah S, Vanclay F, Cooper B. Improving the sensitivity of the Barthel Index for stroke rehabilitation. J Clin
Epidemiol 1989;42:703-9. https://doi.org/10.1016/0895-4356(89)90065-6

16. Janis JE, Ahmad J, Lemmon JA, Barnett CC Jr, Morrill KC, Mc Clelland RN. A 25-year experience with
hemicorporectomy for terminal pelvic osteomyelitis. Plast Reconstr Surg 2009;124(4):1165‐76.
https://doi.org/10.1097/PRS.0b013e3181b61169

17. Warr SP, Jaramillo PM, Franco ST, Valderrama-Molina CO, Franco AC. Hemicorporectomy as a life-saving strategy for severe pelvic ring crush injury: a case report. Eur J Orthop Surg Traumatol 2018;28(4):735‐9.
https://doi.org/10.1007/s00590-018-2140-z

18. Ferrara BE. Hemicorporectomy: a collective review. J Surg Oncol 1990;45(4):270‐8. https://doi.org/10.1002/jso.2930450412

19. Barnett CC Jr, Ahmad J, Janis JE, Lemmon JA, Morrill KC, McClelland RN. Hemicorporectomy: back to front. Am
J Surg 2008;196(6):1000‐2. https://doi.org/10.1016/j.amjsurg.2008.08.009

20. Shields RK, Dudley-Javoroski S. Musculoskeletal deterioration and hemicorporectomy after spinal cord injury. Phys Ther 2003;83(3):263‐75. PMID: 12620090

21. Smith J, Tuel SM, Meythaler JM, Cross LL, Schuch JZ. Prosthetic management of hemicorporectomy patients: new approaches. Arch Phys Med Rehabil 1992;73(5):493‐7. https://doi.org/10.5555/uri:pii:000399939290

22. Simons BC, Lehman JF, Taylor N, De Lateur BJ. Prosthetic management of hemicorporectomy. Orthotics and
Prosthetics 1968;22(2):63-8. Disponible en: http://www.oandplibrary.org/op/pdf/1968_02_063.pdf

23. Ludwigs, E, Kannenberg A, Wüstefeld D. Evaluation of the benefits of a new prosthetic hip joint system in activities of daily function in patients after hip disarticulation or hemipelvectomy. JPO Journal of Prosthetics and Orthotics 2013;25(3):118-26. https://doi.org/10.1097/JPO.0b013e31829afc1c

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