Hemipelvectomy Prosthesis
The most extensive lower-limb level, involving partial pelvis removal.

Hemipelvectomy Prosthesis
A hemipelvectomy prosthesis addresses amputation that removes the leg along with part of the pelvis itself. This is the most extensive lower-limb amputation level, and prosthetic solutions are built around a socket that distributes weight across the remaining pelvis and trunk, since there is no hip or thigh structure to build from.
Given the complexity involved, fitting and training at this level are highly individualised, often balancing mobility goals with comfort, safety and realistic expectations discussed directly with the person and their broader care team.
This solution is often discussed for:
- Amputation involving the leg and part of the pelvis
- A need for a specialised socket distributing weight across the trunk and remaining pelvis
- A desire to discuss realistic mobility goals for this complex level
- Interest in exploring available walking aids alongside or instead of a prosthesis
Start with the person's needs, goals, existing situation and practical requirements.
Discuss the appropriate solution category, fitting considerations and customization options.
Fitting, training, adjustments and follow-up can be discussed as part of the individual pathway.
You don't need to know the product name first.
Socket design and weight distribution across the remaining pelvis and trunk
Coordination with the broader rehabilitation and medical team
Realistic goals for standing, walking distance and endurance
Comfort and skin tolerance given the extensive socket area
Whether a prosthesis, mobility aids, or a combination best supports daily function
Common questions about hemipelvectomy prosthesis.
Not necessarily for every individual — given the complexity of this level, options including prosthetic fitting, mobility aids or a combination are usually discussed together with the person's broader medical and rehabilitation team.
This varies considerably by individual given the complexity involved, and is best discussed directly as part of a personalised assessment and rehabilitation plan.
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