Rehabilitation of a patient receiving a large-resection hip prosthesis because of a phosphaturic mesenchymal tumor

Autor: Maurizio Lopresti, Primo Andrea Daolio, Jacopo M. Rancati, Nicoletta Ligabue, Arnaldo Andreolli, Lorenzo Panella
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Zdroj: Clinics and Practice, Vol 5, Iss 4 (2015)
Druh dokumentu: article
ISSN: 2039-7275
2039-7283
DOI: 10.4081/cp.2015.814
Popis: 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. Rehabili - tative 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.
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