Rehabilitative treatment after reconstruction using saddle prosthesis

doi:10.3321/j.issn:1673-8225.2004.23.010

Abstract：BACKGROUND: Reconstruction using saddle prosthesis, which was developed on the basis of treating the tremendous defect of acetabulum, has recently been used to treat tumor of the pelvis by foreign researchers with remarkable curative effects.OBJECTIVE: To explore the method and results of rehabilitative treatment after semipelvic reconstruction using saddle prosthesis.DESIGN: Nonrandomized and uncontrolled study according to the diagnosis.SETTING and PARTICHANTS: The study was completed in the Department of Orthopedics, Xiangya Hospital of Central South University. A 17year-old male patient, who was diagnosed as ahvinggiant cell tumor (grade Ⅱ)in the right pelvic, was studied.INTERVENTION: Semipelvic resection (hemipelvectomy)was performed on the right side due to giant cell tumor of bone, type Ⅱ + Ⅲ, which was classified according to the system of Eneking and Dunham. Meanwhile, semipelvic reconstruction was performed using saddle prosthesis. During the immediate inpatient period, the patient was instructed to carry out phasic and progressive rehabilitation training, including initiatively moving his ankle, knee, and hip joints of the affected extremity after operation, and to adjust his gait. According to the Aboulafia AJ' S criteria for grading overall results of patients, the patients' data of ambulatory revovery were recorded.MAIN OUTCOME MEASURES: The patient's data of ambulatory recovery were recorded.RESULTS: The patient felt no pain and could perform outdoor activities without the aid of cane. The atrophica muscle on thigh of affeted extremity was improved and the results were excellent.CONCLUSION: This preliminary report demonstrates that our phasic and initiative rehabilitation training can be recommended, with favorable results,to patients who received reconstruction using saddle prosthesis due to giant cell tumor of pelvis.