Rehabilitation can be done at home or in a clinic, with the use of manual techniques, strengthening, proprioception, gait or ADL training, motor stimulation apparatuses and analgesia, among others. 14 There is a high rate of therapy abandonment by elderly patients, 19 due the intensity Alvespimycin of the exercises that sometimes become intolerable or demotivating; the limited mobility, whether caused by physical or cognitive factors and other comorbidities also end up interfering in the treatment frequency. 17 , 20 The difficult follow-up of elderly patients, cited by various articles, hinders research in this area, as it reduces the sample number, thus impairing the reliability of the study. FINAL CONSIDERATIONS The literature does not feature a specific and detailed physical therapy treatment for elderly patients in the postoperative period of proximal femoral fractures.

There is a tendency for strengthening exercises to be the key to the functional improvement of these patients. The evidence shows that physical therapy tends to accelerate the recovery of elderly patients, but their return to prefracture functional state is not yet guaranteed. Footnotes Study conducted at Irmandade da Santa Casa de Miseric��rdia de S?o Paulo – S?o Paulo, SP, Brazil. Citation: Carneiro MB, Alves DPL, Mercadante MT. Physical therapy in the postoperative of proximal femur fracture in elderly. Literature review. Acta Ortop Bras. [online]. 2013;21(3):175-8. Available from URL: http://www.scielo.br/aob.
Osteosarcoma, Ewing’s sarcoma, and giant cell tumors of the bone frequently occur in the pelvis.

Schwameis et al. 1 reported that among 340 cases of primary malignant bone tumors registered in the Vienna Bone Tumor Center, 9% were pelvic tumors. Pelvic tumors have an occult onset and usually involve a large area. These factors, in combination with the complex anatomical structure of the pelvis, make treatment, especially surgical treatment, complex and challenging. Surgical treatment of pelvic tumors primarily includes ablative methods (hemipelvic resection or modified hemipelvic resection and amputation) and a limb salvage procedure with or without postoperative reconstruction. 2 – 6 Studies have found that the 5-year survival rate is not statistically different between reconstructive surgery with radio- and chemotherapy and non-reconstructive amputation; however, patients who undergo reconstructive surgery with radio- and chemotherapy have a better functional prognosis.

7 , 8 Therefore, limb salvage procedures and functional reconstruction after resection of pelvic tumors are being performed more commonly. 1 , 6 , 9 Further research is clearly needed; however, to determine if outcomes are better with limb salvage procedures. The purpose of this study is to compare the outcomes of patients who received pelvic reconstructive surgery with allogeneic bone grafts after en GSK-3 bloc resection of pelvic tumors with the outcomes of patients who received en bloc resection only.