Rehabilitation of the patient after total resection of the femoral bone as part of the Ewing’s sarcoma treatment

Abstract

Introduction. Ewing's sarcoma is a small-round-cell tumour, the second tumour (after osteosarcoma) as to the prevalence and the most malignant primary tumour of bone in children and adolescents. As much as 90% of the incidence occurs in people between 5 and 25 years of age, and in the population below 20 years of age the frequency is below 3 persons / 1,000,000.
The aim of the study. The objective of the thesis is to present the course and results of rehabilitation of a 45-year-old patient after total resection of the femoral bone as part of the Ewing’s sarcoma treatment.
Case report. In 1996, a patient with diagnosed Ewing’s sarcoma underwent a resection arthroplasty of hip joint with allograft implantation. In 2016, due to pathological fracture of the femoral bone and loosening of the femoral part of the prosthesis in the presented patient, total femoral bone resection with alloplasty of the knee joint was performed. The rehabilitation process after the surgery lasted for two years and included intensive physiotherapy, which allowed to achieve the goals assumed in the individual treatment plan. Thanks to surgery and rehabilitation, pain relief and improvement of the right lower extremity function were achieved, which resulted in increased gait efficiency. Due to the persistent weakness of the right lower extremity, continuation of rehabilitation in subsequent years is recommended.
Conclusions. The presented case shows that physiotherapy after total resection of the femoral bone allows you to regain lost functions.