Functional outcome measures of patients following hemipelvectomy.

TLDR: Patients who use a modern prosthesis following hemipelvectomy demonstrated good clinical function with and without their prosthesis, and a trend for faster locomotion using crutches over wearing a prosthesis in the timed up and go, and 5-m and 400-m walk.

Abstract: Background:Major amputations are indicated for curative treatment of some tumors of the pelvis. Previous literature suggests that patients with a hemipelvectomy amputation are more efficient walking with crutches than using a prosthesis.Objectives:The purpose of this study was to evaluate whether modern prosthetic use after hemipelvectomy may be a viable option for patients than in the past.Study Design:Case control trial.Methods:We identified five patients who underwent hemipelvectomy amputation and fit with high-level prosthetic components. Patients were evaluated using a timed up and go, 5-m walk, 400-m walk, and stair climb tests to evaluate functional performance with a prosthesis and without. Short Form–36 scores were collected as well. These results were compared to matched controls.Results:There was a trend for faster locomotion using crutches over wearing a prosthesis in the timed up and go, and 5-m and 400-m walk; no difference was seen in stair climbing. Short Form–36 scores showed decreased ph...