Prosthesis Design for Bilateral Hip Disarticulation Management

Abstract:

Hip disarticulation is an amputation through the hip joint capsule, removing the entire lower extremity, with closure of the remaining musculature over the exposed acetabulum. Tumors of the distal and proximal femur were treated by total femur resection; a hip disarticulation sometimes is performance for massive trauma with crush injuries to the lower extremity. This article discusses the design a system for rehabilitation of a patient with bilateral hip disarticulations. The prosthetics designed allowed the patient to do natural gait suspended between parallel articulate crutches with the body weight support between the crutches. The care of this patient was a challenge due to bilateral amputations at such a high level and the special needs of a patient mobility.

• Periodical: Applied Mechanics and Materials (Volume 664)
• Pages: 423-428
• DOI: https://doi.org/10.4028/www.scientific.net/AMM.664.423
• Online since: October 2014
• Authors: Mauricio Plaza Torres*, William Aperador
• Keywords: Amputation, Hemipelvectomy, Hip Disarticulation, Mobility, Prosthesis

References

[1] Coley BL, Higinbotham NL, Romieu C: Hemipelvectomy for tumors of bone: Report of fourteen cases. Am J Surg 1951; 82: 27-43.

DOI: 10.1016/0002-9610(51)90294-2

[2] Dankmeyer CH Jr: Prosthetic management of adult hemicorporectomy and bilateral hip disarticulation amputees. Orthot Prosthet 1981; 35: 11-18.

[3] Davis BP, Warner R, Daniel R, et al: The problem of fitting a satisfactory prosthesis following hemipelvectomy. Inter-Clin Info Bull 1964; 3: 5-9.

[4] Desio MA, Leonard JA: Above-knee prosthesis for hip disarticulation (abstract). Arch Phys Med Rehabil 1986; 67: 667-668. Foort J: Construction and fitting of the Canadian-type hip-disarticulation prosthesis. Artif Limbs 1957; 4: 39-51.

[5] Foort J. Some experience with the Canadian-type hip-disarticulation prosthesis. Artif Limbs 1957; 4: 52-70.

[6] Friedmann L. Comments and observations regarding hemipelvectomy and hemipelvectomy prosthetics. Orthot Prosthet; 21: 271-273.

[7] Giaccone V, Stack D. Temporary prosthesis for the hip-disarticulation amputee. Phys Ther; 57: 1394-1396.

DOI: 10.1093/ptj/57.12.1394

[8] Gillis L: A new prosthesis for disarticulation at the hip. J Bone Joint Surg; 50: 389-391.

[9] Glattly HW: A preliminary report on the amputee census. Artif Limbs 1963; 7: 5-10. Greene M: Four bar knee linkage analysis. Orthot Prosthet; 37: 15-24.

[10] Hampton F: A hemipelvectomy prosthesis. Artif Limbs; 8: 3-27.

[11] Hampton F: A Hemipelvectomy Prosthesis. Chicago, Northwestern University Prosthetic Research Center, p.32.

[12] Huang CT: Energy cost of ambulation with Canadian hip disarticulation prosthesis. J Med Assoc State Ala; 52: 47-48.

[13] Hutter CG: Improved type of hip-disarticulation on prosthesis. J Bone Joint Surg [Am]; 35: 745-748.

DOI: 10.2106/00004623-195335030-00025

[14] Imler C, Quigley M: A technique for thermoforming hip disarticulation prosthetic sockets. J Prosthet Orthot; 3: 34-37.

DOI: 10.1097/00008526-199010000-00010

[15] Iwakura H, Abe M, Fujinaga H, et al: Locomotion of the hemipelvectomy amputee. Prosthet Orthot Int; 3: 111-114.

[16] Jay GR, Sabolich L: A bilateral above-knee/hip disarticulation fitting. Inter-Clin Info Bull; 11: 9-12.

[17] Jensen JS, Mandrup-Poulsen T: Success rate of prosthetic fitting after major amputations of the lower limb. Prosthet Orthot Int; 7: 119-122.

DOI: 10.3109/03093648309166987

[18] Lehneis HR, et al: Prosthetics Management for High Level Lower Limb Amputees. New York, Institute of Rehabilitation Medicine.

[19] Leppanen RE: A temporary prosthesis for hip disarticulation. Phys Ther; 49: 987-990.

DOI: 10.1093/ptj/49.9.987

[20] Littig DH, Lundt JE: The UCLA anatomical hip disarticulation prosthesis. Clin Prosthet Orthot; 12: 114-118.

[21] Lyquist E: Canadian-type socket for a hemipelvectomy. Artif Limbs; 5: 130-132.

[22] The flexible socket system as applied to the hip disarticulation amputee. Orthot Prosthet ; 39: 44-47.

[23] Marx HW: Some experience in hemipelvectomy prosthetics. Orthot Prosthet; 00: 259-270.

[24] McLaurin CA: Hip Disarticulation Prosthesis, Report No. 15. Toronto, Canada, Prosthetic Services Centre, Department of Veterans Affairs.

[25] Pinzur MS, et al: An easy-to-fabricate modified hip disarticulation temporary prosthesis (technical note). Orthot Prosthet; 40: 58-60.

[26] Radcliffe CW: The biomechanics of the Canadian-type hip-disarticulation prosthesis. Artif Limbs; 4: 29-38.

[27] Sabolich J, Guth T: The CAT-CAM-HD. A new design for hip disarticulation patients. Clin Prosthet Orthot; 12: 119-122.

[28] Shurr DG, Cook TM, Buckwalter JA, et al: Hip disarticulation: A prosthetic follow-up. Orthot Prosthet; 37: 50-57.

[29] Simons BC, Lehman JF, Taylor H, et al: Prosthetic management of hemicorporectomy. Orthot Prosthet; 22: 63-68.

[30] Solomonidis SE, Loughran AJ, Taylor J, et al: Biomechanics of the hip disarticulation prosthesis. Prosthet Orthot 1nt; 1: 13-18.

[31] Van der Waarde T: Ottawa experience with hip disarticulation prostheses. Orthot Prosthet; 38: 29-33.

[32] Waters RL, et al: Energy costs of walking of amputees: The influence of level of amputation. J Bone Joint Surg [Am]; 58: 46.