National Limb Loss Information Center
Amputee Coalition of America
Resource Types:
Web Sites & Organizations
Amputee Coalition Articles: Including inMotion Articles
Technical Resources
Books

 

Online Library
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Hemipelvectomy* and Hip Disarticulation

September 2009

People with limb loss have particular information needs. Topic of the Month is a resource guide of information relevant to amputees. Click on the links below to access articles and Web sites directly. Many of the books and videos can be borrowed through Interlibrary Loan.

Many more resources can be found by searching our online library. Please feel free to share this resource with those who may find this useful. We also welcome your comments and topic suggestions! Contact us via e-mail at library@amputee-coalition.org.

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This month's resources were selected with the help of Christina Skoski, M.D.

Web Sites & Organizations

HPHDHELP.ORG- www.hphdhelp.org
This Web site provides peer support and communication opportunities for hemipelvectomy and hip-disarticulation level amputees. Information about the latest prosthetic technologies and non-prosthetic options is available. Rehabilitation issues are also addressed.

The Dutch Hemipelvectomy Site- www.go.to/hemipelvectomie
This Web site examines issues including the amputation surgery, hospitalization, rehabilitation and long-term concerns. Also includes “tips and tricks” and Web sites of interest.

Amputee Coalition of America- www.amputee-coalition.org
This site provides a wealth of information to all amputees. Search the library for more resources, call the toll free hotline for information or submit a question online.

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Amputee Coalition Articles: Including inMotion Articles

Notes From the Medical Director: Higher Challenges: The Hip Disarticulation and Transpelvic Amputation Levels / Douglas G. Smith, MD. Knoxville, TN: Amputee Coalition of America, 2005. Article from inMotion, January / February 2005. Doug Smith describes the hip disarticulation and transpelvic (hemipelvectomy) amputation levels and looks at the special challenges amputees at these levels face.
www.amputee-coalition.org/inmotion/jan_feb_05/higherchallenges.html
www.amputee-coalition.org/inmotion/jan_feb_05/higherchallenges.pdf
Spanish: www.amputee-coalition.org/spanish/inmotion/jan_feb_05/higherchallenges.html
Spanish: www.amputee-coalition.org/spanish/inmotion/jan_feb_05/higherchallenges.pdf

Notes From the Medical Director: Higher Challenges: Amputations at the Hip and Pelvis, Part 2 / Douglas G. Smith, MD. Knoxville, TN: Amputee Coalition of America, 2005.  Article from inMotion, March / April 2005. In Part 2 of Doug Smith's look at hip disarticulation and transpelvic amputations, he examines the impact of age on healing and rehabilitation, the difficulties in locating the prosthetic hip joint, prosthesis issues, sitting problems, and why recovery and rehabilitation require a different approach at these levels.
www.amputee-coalition.org/inmotion/mar_apr_05/higherchallenges2.html
www.amputee-coalition.org/inmotion/jan_feb_05/higherchallenges.pdf
Spanish: www.amputee-coalition.org/spanish/inmotion/jan_feb_05/higherchallenges.html
Spanish: www.amputee-coalition.org/spanish/inmotion/jan_feb_05/higherchallenges.pdf

Notes From the Medical Director: Higher Challenges: The Hip Disarticulation and Transpelvic Amputation Levels, Part 3 / Douglas G. Smith, MD. Knoxville, TN: Amputee Coalition of America, 2005. Article from inMotion, May / June 2005. In Part 3 of Doug Smith's look at hip disarticulation and transpelvic amputations, he examines weight control, the complex prosthetics process, wheelchairs, sitting and achievement and success.
www.amputee-coalition.org/inmotion/may_jun_05/higherchallenges.html
www.amputee-coalition.org/inmotion/may_jun_05/higherchallenges.pdf
Spanish: www.amputee-coalition.org/spanish/inmotion/may_jun_05/higherchallenges.html
Spanish: www.amputee-coalition.org/spanish/inmotion/may_jun_05/higherchallenges.pdf

The Pelvic Leveler: An Alternative to a Sitting Socket / Christina Skoski, MD. Knoxville, TN: Amputee Coalition of America, 2005. Article from inMotion, January / February 2005. This article looks at a pelvic leveler as a tool to help those with a hemipelvectomy-level amputation have more support on the amputated side while sitting.
www.amputee-coalition.org/inmotion/jan_feb_05/pelvicleveler.html

Advances in Hip Disarticulation Socket Design / Schaffer, Erik. Knoxville, TN: Amputee Coalition of America, 2003.Article from inMotion, September / October 2003. This article looks at some of the latest developments in socket design for the hip disarticulation prosthesis.  www.amputee-coalition.org/inmotion/sep_oct_03/hip.html
www.amputee-coalition.org/inmotion/sep_oct_03/hip.pdf

Consumer Guide for Amputees: A Guide to Lower Limb Prosthetics Part 1 Prosthetic Design: Basic Concepts / Schuch, C. Michael. Knoxville, TN: Amputee Coalition of America, 1998. Article from inMotion, March / April 1998. C. Michael Schuch, CPO, FISPO, FAAOP, discusses the basic concepts of prosthetic design, which includes prostheses for hip disarticulation amputees.
www.amputee-coalition.org/inmotion/mar_apr_98/pros_primer/page1.html

Looking Ahead at Computer-Controlled Knees/ Boone, David, CP, PhD. Article from inMotion November / December 2008. Learn about what improvements microprocessors are bringing to prosthetic knee functions.
www.amputee-coalition.org/inmotion/nov_dec_08/computer_controlled_knees.html

Pregnancy After Amputation / Zahra Meghani. Knoxville, TN: Amputee Coalition of America, 2000. Article from inMotion, July/ August 2000. This story is about two women who refused to let their radical amputations stop them from experiencing the joys of motherhood.
www.amputee-coalition.org/inmotion/jul_aug_00/preg.html

The Prosthetic Knee: Microprocessor and Non-Microprocessor Knee Joints / Schaffer, Eric, CP, Kort, Chris, CPO and Krueter, Phil. Article from inMotion November / December 2008.  This article discusses the roll of the prosthetic knee and compares microprocessor knees to hydraulic knee joints.
www.amputee-coalition.org/inmotion/nov_dec_08/prosthetic_knees.html 

Sockets for Hip-Disarticulation and Hemipelvectomy Amputees / John Angelico. Knoxville, TN: Amputee Coalition of America, 2001. Article from inMotion, September /October 2001. A look at various types of sockets and the issues that arise with each type.
www.amputee-coalition.org/inmotion/sep_oct_01/sockets.html
www.amputee-coalition.org/inmotion/sep_oct_01/sockets.pdf

Towards Reaching "Normalcy" – Does it Really Matter? / Donna R. Walton, EdD. Knoxville, TN: Amputee Coalition of America, 2006. Article from inMotion, July / August 2006. Dr. Walton describes her own quest to be "normal" and walk without a limp, despite her high-level amputation above the knee. She describes meeting another woman with similar feelings who has hip disarticulation. After years of coping with their own gaits, they both came to the same conclusion of not letting their limp define who they are. After all, their limp is "normal" to them.
www.amputee-coalition.org/inmotion/jul_aug_06/reaching_normalcy.html
www.amputee-coalition.org/inmotion/jul_aug_06/reaching_normalcy.pdf

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Technical Resources available Online

Disarticulation/Hemipelvectomy Prosthetic Fitting Techniques / Van der Waarde, Tony and John W. Michael. Reprinted from Atlas of Limb Prosthetics:  Surgical, Prosthetic, and Rehabilitation Principles, 2nd ed. Mosby-Year Book, Inc. 1992.
www.awardprosthetics.com/hip_disartiulation.html

A Flexible, Air-Permeable Socket Prosthesis For Bilateral Hip Disarticulation and Hemicorporectomy Amputees / J. Martin Carlson and Susan L. Wood. Alexandria, VA: American Academy of Orthotists and Prosthetists, 1998.
www.oandp.org/jpo/library/1998_04_110.asp

Overview of Hip Disarticulation Prostheses/ Gerald Stark. Journal of Prosthetics and Orthotics Vol. 13 No. 2001.
www.oandp.org/jpo/library/2001_02_050.asp

John Michael’s Corner- www.oandp.com/news/jmcorner
Archives at OandP.com. John Michael and Steve Taylor spent several weeks touring the United States and visited with high-level amputees and O & P Facilities.  Read about their findings in this series of online articles:

Trans-USA Hip Disarticulation/Transpelvic Prostheses Tour: Part One = Steve Taylor's Investigations September 2003 ‑ John Michael's Corner

Trans-USA Hip Disarticulation/Transpelvic Prostheses Tour: Part Two = Rochester, MN October 2003 ‑ John Michael's Corner

Trans-USA Hip Disarticulation/Transpelvic Prostheses Tour: Part Three A = Suwanee, Georgia November 2003 ‑ John Michael's Corner

Trans-USA Hip Disarticulation/Transpelvic Prostheses Tour: Part Three B = Durham, NC January 2004 ‑ John Michael's Corner

Trans-USA Hip Disarticulation/Transpelvic Prostheses Tour: Part Four = Ventura, CA February 2004 ‑ John Michael's Corner

Trans-USA Hip Disarticulation/Transpelvic Prostheses Tour: Part Five = Torrance, CAMay 2004 ‑ John Michael's Corner

Trans-USA Hip Disarticulation/Transpelvic Prostheses Tour: Part Six = Texas Scottish Rite Hospital for ChildrenJune 2004 - John Michael's Corner

Improved Suspension Method for Transpelvic Sitting Prosthesis June 2004 ‑ John Michael's Corner

Information regarding the Helix3D Hip:
www.ottobock.com/cps/rde/xchg/ob_com_en/hs.xsl/15031.html

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Books

Have Crutch Will Travel: The Adventures of a Modern Day Calamity Jane. By Cale Kenney. 1st printed ed., ltd. Denver, CO: Tell Tale Pub., 2002. ISBN 0-9724303-0-X. Cale Kenney had a hemipelvectomy amputation at age 19 as a result of a motorcycle accident. She talks about her accident and recovery, and life since her amputation. Cale has traveled extensively and was one of the first women on the U.S. Disabled Ski Team.

The Next Leg of My Journey. By Lenor Madruga Chappell. San Jose: iUniverse.com, Inc., c2000. ISBN 0-595-14639-2. In this sequel to One Step at a Time, the author engages the reader with the intimate and heart-wrenching details of the painful demise of her marriage, admitting that "losing her husband was worse than losing her leg." Committed to enjoying life, no matter what it brings, this remarkable story of learning to love again is uplifting and achingly honest. The book focuses on the obstacles this unique woman faced trying to overcome the challenges of life alone. This is the story of unbelievable willpower and human triumph.

One Step at a Time: A Young Woman's Inspiring Struggle to Walk Again.  By Lenor Madruga. San Jose: iUniverse.com, Inc., c2000. ISBN 0-595-14914-6. On the morning of her 32nd birthday, the author discovered a small, hard lump on her thigh. Within a few nightmare months, she had barely saved her life – and lost her leg. Now she tells the story of her struggle to return from the abyss of pain, drug addiction, self-torment, and depression that threatened to swallow up her entire life. It is a triumphant story of her determination to dance, drive, swim, water-ski, make love – and do almost everything she used to do before her operation.

* Please note that the latest standard terminology set by the International Society for Prosthetics and Orthotics (ISPO) is the term “Transpelvic” rather than “Hemipelvectomy.” This refers to all amputations through any portion of the pelvis. Formerly, these were referred to as “partial” or “complete hemipelvectomy.” These terms are still commonly used in the medical and surgical literature; therefore, any search of literature should include both terms.

Back to Top Last updated: 03/23/2009