Controlled-Compression Hip Disarticulation and Hemipelvectomy Casting Procedure

The controlled‑compression casting technique is a modern, patient‑centred approach to hip disarticulation casting designed to achieve an intimate, accurate, and functionally effective socket shape. Developed by the OAPL Alexandria team, this method responds directly to decades of patient feedback and clinical refinement.

Learning Outcomes;
Apply the purpose, rationale, and anatomical foundations of the controlled‑compression hip disarticulation and hemipelvectomy casting technique, including key pelvic structures and their role in socket design and suspension.

Conduct a complete pre‑casting assessment and perform the casting procedure with correct sequencing, pressure application, alignment marking, and strict attention to patient comfort, safety, and documentation.

Complete post‑casting and fabrication processes, including rectification, check‑socket creation, definitive lamination, component selection, and precise alignment transfer to support optimal prosthetic function.

Support functional rehabilitation through dynamic fitting, gait assessment, patient education, and interdisciplinary collaboration to enhance safety, mobility, and long‑term prosthetic success.

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