Rehabilitation after Forequarter Amputation for Left Scapula Chondrosarcoma : A Case Report Yudai Fujimoto 1 , Takaaki Tanaka 1,2 , Toru Wakamatsu 2 , Seiji Ikeda 1 , Yuji Kato 1 , Norifumi Naka 1,2 1Department of Rehabilitation, Osaka International Cancer Institute 2Department of Orthopedic Surgery, Osaka International Cancer Institute Keyword: 肉腫 , sarcoma , がん , cancer , 悪性腫瘍 , malignant tumor , 肩甲帯離断 , forequarter amputation , リハビリテーション治療 , rehabilitation treatment , 義手 , upper limb prosthesis pp.364-369
Published Date 2020/4/17
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Forequarter amputation is a rare procedure, performed mainly for patients with malignant bone and soft tissue tumors. The present case involved a 59-year-old man with left scapula chondrosarcoma. Rehabilitation began on the second day after amputation for a left shoulder chondrosarcoma. We performed early mobilization, wound management, mirror therapy for phantom pain, strength training for the remaining muscles, and activities of daily living (ADL)/instrumental ADL (IADL) training for only the remaining upper limb. In addition, we made a shoulder disarticulation prosthesis. Six months after the operation, the International Society of Limb Salvage-Musculoskeletal Tumor Society functional score was 36.7% for 6 items and 73.3% for 3 items, while the Disability of Arm, Shoulder and Hand score was 31.7. The patient-reported outcome had a low score because of the lack of an upper limb, including the scapula. However, when he was discharged from the hospital, he gained self-care independence with only the remaining upper limb and resumed fishing as a hobby. We suggest that rehabilitation after forequarter amputation requires careful intervention based on a deep evaluation of the patient's ADL/IADL, hobbies, and quality of life, in accordance with the patient's lifestyle.

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電子版ISSN 印刷版ISSN 1881-3526 日本リハビリテーション医学会