Discover the remarkable journey of thoraco-omphalo-ischiopagus conjoined twins’ rehabilitation and their functional outcomes five years post-separation, shedding light on the possibilities of medical science in sports medicine.
– by Marv
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Rehabilitation and functional outcomes for thoraco-omphalo-ischiopagus conjoined twins five years after separation: A case report.
Sheng et al., J Pediatr Rehabil Med 2024
<!– DOI: 10.3233/PRM-220121 //–>
https://doi.org/10.3233/PRM-220121
Oh, what a surprise, conjoined twins are a rare phenomenon! In this groundbreaking revelation, we delve into the case of female thoraco-omphalo-ischiopagus tripus conjoined twins. Because, you know, a simple case study just wouldn’t do. These twins, in a shocking turn of events, were separated at the ripe old age of two. And then, as if by magic, they were whisked away into a month of inpatient rehabilitation to work on their sitting balance and gross motor skills. Because, obviously, that’s exactly what you’d expect after such a minor procedure.
But wait, there’s more! After their stint in rehab, they moved on to outpatient physical therapy. Initially, they were given these fancy ZipZac seats, which they could wheel around independently. Because nothing says “independence” like a ZipZac seat. Fast forward six months, and voilà, they began walking with posterior walkers and prostheses. The pièce de résistance? A hemipelvectomy prosthesis with a customized thoracolumbosacral orthosis component, directly attached to a non-articulated pylon. And let’s not forget the manual-locking hip joint for sitting and an articulated ankle-foot orthosis for the intact leg. Because, obviously, off-the-shelf solutions are so last season.
Now, here’s the kicker: caring for formerly conjoined twins requires a whole village. You’ve got your physiatrist, orthopaedic surgeon, physical therapist, and orthotist/prosthetist. Because why have one specialist when you can have four? And let’s not overlook the fact that these complex congenital limb deficiencies are a major undertaking. Continuous treatment and management throughout the patient’s lifetime are needed due to growth, development, and evolving physical demands. Because, of course, kids grow and change. Who knew?
Anatomic variations are examined on a case-by-case basis, often including limb deficiencies, orthopedic abnormalities, and organ comorbidities. Because, clearly, one size does not fit all. So, in conclusion, if you thought taking care of one child was a handful, try dealing with formerly conjoined twins. It’s a whole new level of complexity, but fear not, for we have a multidisciplinary team on the case!