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Case Report

Rehabilitation of a Patient Receiving a Large-Resection Hip Prosthesis Because of a Phosphaturic Mesenchymal Tumor

by
Maurizio Lopresti
1,
Primo Andrea Daolio
2,
Jacopo M. Rancati
3,
Nicoletta Ligabue
1,
Arnaldo Andreolli
4 and
Lorenzo Panella
3,*
1
Oncologic Rehabilitation Centre, Gaetano Pini Orthopedic Institute, Milano
2
Oncologic Surgery Centre, Gaetano Pini Orthopedic Institute, Milano
3
Department of Rehabilitation and Functional Recovery, Gaetano Pini Orthopedic Institute, Milano
4
Department of Rehabilitation and Functional Recovery, Luigi Sacco Hospital, Milano
*
Author to whom correspondence should be addressed.
Clin. Pract. 2015, 5(4), 814; https://doi.org/10.4081/cp.2015.814
Submission received: 16 October 2015 / Revised: 2 November 2015 / Accepted: 2 November 2015 / Published: 5 November 2015

Abstract

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.
Keywords: tumor-induced osteomalacia; rehabilitation; hip mega-prosthesis tumor-induced osteomalacia; rehabilitation; hip mega-prosthesis

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MDPI and ACS Style

Lopresti, M.; Daolio, P.A.; Rancati, J.M.; Ligabue, N.; Andreolli, A.; Panella, L. Rehabilitation of a Patient Receiving a Large-Resection Hip Prosthesis Because of a Phosphaturic Mesenchymal Tumor. Clin. Pract. 2015, 5, 814. https://doi.org/10.4081/cp.2015.814

AMA Style

Lopresti M, Daolio PA, Rancati JM, Ligabue N, Andreolli A, Panella L. Rehabilitation of a Patient Receiving a Large-Resection Hip Prosthesis Because of a Phosphaturic Mesenchymal Tumor. Clinics and Practice. 2015; 5(4):814. https://doi.org/10.4081/cp.2015.814

Chicago/Turabian Style

Lopresti, Maurizio, Primo Andrea Daolio, Jacopo M. Rancati, Nicoletta Ligabue, Arnaldo Andreolli, and Lorenzo Panella. 2015. "Rehabilitation of a Patient Receiving a Large-Resection Hip Prosthesis Because of a Phosphaturic Mesenchymal Tumor" Clinics and Practice 5, no. 4: 814. https://doi.org/10.4081/cp.2015.814

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