Comprehensive rehabilitation program after post-resistive hip arthroplasty of GMRS as a result of treatment of the aneurysm cyst of the femoral neck
| Main Authors: | Szczypiór-Piasecka, Karina, Siemińska, Julia, Antczak, Krzysztof, Mińko, Alicja |
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| Format: | Article Journal |
| Terbitan: |
, 2021
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| Online Access: |
https://zenodo.org/record/5530438 |
Daftar Isi:
- Szczypiór-Piasecka Karina, Siemińska Julia, Antczak Krzysztof, Mińko Alicja. Comprehensive rehabilitation program after post-resistive hip arthroplasty of GMRS as a result of treatment of the aneurysm cyst of the femoral neck. Journal of Education, Health and Sport. 2021;11(9):550-564. eISSN 2391-8306. DOI http://dx.doi.org/10.12775/JEHS.2021.11.09.072 https://apcz.umk.pl/JEHS/article/view/JEHS.2021.11.09.072 https://zenodo.org/record/5530438 The journal has had 5 points in Ministry of Science and Higher Education parametric evaluation. § 8. 2) and § 12. 1. 2) 22.02.2019. © The Authors 2021; This article is published with open access at Licensee Open Journal Systems of Nicolaus Copernicus University in Torun, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike. (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 15.09.2021. Revised: 20.09.2021. Accepted: 27.09.2021. Comprehensive rehabilitation program after post-resistive hip arthroplasty of GMRS as a result of treatment of the aneurysm cyst of the femoral neck Karina Szczypiór-Piasecka karinaszczypior@interia.pl ORCID iD https://orcid.org/0000-0002-9562-9201 Klinika Ortopedii, Traumatologii i Onkologii Narządu Ruchu Pomorskiego Uniwersytetu Medycznego w Szczecinie, Poland Julia Siemińska karinaszczypior@interia.pl ORCID iD https://orcid.org/0000-0002-4340-0085 SKN Rehabilitacji Ortopedycznej i Terapii Manualnej przy KOTiONR PUM, Poland Krzysztof Antczak karinaszczypior@interia.pl ORCID iD https://orcid.org/0000-0001-8443-0611 Studium Doktoranckie Pomorskiego Uniwersytetu Medycznego, Poland Alicja Mińko karinaszczypior@interia.pl ORCID iD https://orcid.org/0000-0003-2299-3958 Pomorski Uniwersytet Medyczny w Szczecinie, Poland Abstract Malignant bone cancer is rarely detected in its early stages and there is usually already soft tissue infiltration at diagnosis. Symptoms that occur include pain that worsens at night, tissue thickening, and limitation of limb mobility due to bone destruction. Researchers point to the necessary cooperation of the medical team to correctly diagnose the disease, plan the patient's treatment and conduct rehabilitation. THE AIM OF THE STUDY was to describe a case of a patient after resection of a malignant bone tumor (Fibrolastic osteosarcoma) and to create a program of comprehensive postoperative rehabilitation. MATERIAL AND METHODS The case study presented in this study confirms the need for holistic treatment of a patient diagnosed with a malignant bone tumor. In patient A.S. at the age of 23, an aneurysmal cyst in the neck of the left femur was diagnosed with a pathological fracture and extensive bone destruction. Radical treatment with total post-resection arthroplasty was performed. Inpatient physiotherapy is described, starting one day after the surgery, focusing on the prevention of postoperative complications and the treatment of dysfunctions resulting from surgery. as a result of surgery. The rehabilitation 5 months after the surgery was also presented, during which the focus was on restoring the correct ranges of joint mobility and restoring the correct muscle strength. The work confirms the necessity of a holistic application of the patient care process, which includes diagnostics, treatment and rehabilitation. RESULTS Physiotherapy is introduced the day after surgery and continues until the patient is discharged home. Physiotherapeutic methods and exercises are adapted to the scope of the operation, general condition and age of the patient. The goal is for the patient to achieve the greatest possible independence of movement and daily activities. In post-hospital rehabilitation, the goal is to restore the normal, achievable, mobility and stability of the joints. The patient should adopt the correct gait pattern with the minimum possible protection with orthopedic equipment. CONCLUSIONS 1. Patients after proximal femur resection and GMRS replacement surgery should begin rehabilitation on the first day after surgery. 2. Manual therapy and osteopathy are extremely important in the rehabilitation program after surgery to remove a bone tumor. Key words: cancer, sarcoma, osteosarcoma, rehabilitation.