Rehabilitation of a Patient Receiving a Large-Resection Hip Prosthesis Because of a Phosphaturic Mesenchymal Tumor.
Rehabilitation of a Patient Receiving a Large-Resection Hip Prosthesis Because of a Phosphaturic Mesenchymal Tumor.
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DOI：
10.4081/cp.2015.814
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发表时间：
2015-11-05
影响因子：
2.3
通讯作者：
Panella L
中科院分区：
文献类型：
--
作者：
Lopresti M;Daolio PA;Rancati JM;Ligabue N;Andreolli A;Panella L
肿瘤诱发的骨软化症是由间质来源的肿瘤引起的骨软化综合征。诊断程序需要时间和广泛的调查，因为这些肿瘤的特点通常是小尺寸，生长缓慢，非侵入性，因此难以定位。鉴别诊断由骨活检确定。肿瘤的手术切除是治疗的选择，导致一个完全消退的致癌软化综合征。在这些患者的临床过程中，我们经常可以看到病理性骨折，假体周围骨折或假体活动的多个事件，由于软化的图片：外科手术通常是广泛破坏性的，需要巨大的假体植入物。用于照顾这些患者的康复程序在以下病例报告中描述，并基于外科和康复团队之间的合作。在医学文献中未找到髋关节巨型假体后的康复路径：本病例报告中分析的结局证明了所应用的康复程序的有效性。
Tumor-induced osteomalacia is an osteomalacic syndrome caused by a mesenchymal origin’s tumor. The diagnostic procedure takes time and extensive investigations because of the characteristics of these tumors usually small dimensioned, slowly growing, non-invasive and therefore hard to locate. The differential diagnosis is determined by a bone biopsy. Tumor’s surgical removal is the treatment of choice that leads up to a complete regression of the oncogenic malacic syndrome. In the clinical course of these patients we can often see multiple episodes of pathological fractures, peri-prosthesis fractures or prosthesis mobilizations, due to the malacic picture: surgical procedures are often widely demolitive and requires mega-prosthetic implant. The rehabilitative procedure used to take care of these patients, is described in the following case report and based on the collaboration between surgical and rehabilitative teams. Rehabilitative pathway after hip mega-prosthesis does not find references in medical literature: the outcomes analyzed in this case report demonstrate the efficacy of the rehabilitative procedure applied.