Abstract
Hemipelvectomy or hip disarticulation are rare operations. The most common indication is radical treatment of a sarcoma where limb-sparing surgery is not possible. The operations have a high incidence of infection and a risk of tissue necrosis which seems highly correlated to impaired blood flow in the covering flaps. After hemipelvectomy many patients suffer from bladder ad bowel incontinence, but the evidence for the incidence is poor. In younger people prosthetic rehabilitation after amputation is possible, but only about 25 % of the patients use their prosthesis regularly and often only for the stand phase.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Fitzpatrick MC. The psychologic assessment and psychosocial recovery of the patient with an amputation. Clin Orthop Relat Res. 1999;(361):98–107.
Johansen R, Nielsen OS, Keller J. Functional outcome in sarcomas treated with limb-salvage surgery or amputation. Sarcoma. 1998;2(1):19–23.
Senchenkov A, Moran SL, Petty PM, Knoetgen 3rd J, Tran NV, Clay RP, et al. Soft-tissue reconstruction of external hemipelvectomy defects. Plast Reconstr Surg. 2009;124(1):144–55.
Boyd HB. Anatomic disarticulation of the hip. Surg Gynecol Obstet. 1947;84(3):346–9.
Sara T, Kour AK, Das De S, Rauff A, Pho RW. Wound cover in a hindquarter amputation with a free flap from the amputated limb. A case report. Clin Orthop Relat Res. 1994;(304):248–51.
McLaurin CA. The evolution of the Canadian-type hip-disarticulation prosthesis. Artif Limbs. 1957;4(2):22–8.
Beck LA, Einertson MJ, Winemiller MH, DePompolo RW, Hoppe KM, Sim FF. Functional outcomes and quality of life after tumor-related hemipelvectomy. Phys Ther. 2008;88(8):916–27.
Ham SJ, Schraffordt Koops H, Veth RP, van Horn JR, Eisma WH, Hoekstra HJ. External and internal hemipelvectomy for sarcomas of the pelvic girdle: consequences of limb-salvage treatment. Eur J Surg Oncol. 1997;23(6):540–6.
Nikolajsen L, Jensen TS. Phantom limb pain. Br J Anaesth. 2001;87(1):107–16.
Nikolajsen L, Staehelin JT. Phantom limb pain. Curr Rev Pain. 2000;4(2):166–70.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2014 EFORT
About this entry
Cite this entry
Keller, J. (2014). Disarticulation of the Hip and Hemipelvectomy. In: Bentley, G. (eds) European Surgical Orthopaedics and Traumatology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-34746-7_244
Download citation
DOI: https://doi.org/10.1007/978-3-642-34746-7_244
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-34745-0
Online ISBN: 978-3-642-34746-7
eBook Packages: MedicineReference Module Medicine