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Hemipelvectomy for trauma: case report.

Journal of the National Medical Association

|March 1, 1991

Summary

This summary is machine-generated.

A severe open pelvic fracture with extensive tissue damage required a left hemipelvectomy. Despite the critical injury, the patient achieved ambulation with a prosthesis.

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Area of Science:

Trauma surgery
Orthopedic surgery
Vascular surgery

Background:

Open pelvic fractures are complex injuries often involving significant soft tissue damage and vascular compromise.
Management requires a multidisciplinary approach to address life-threatening hemorrhage and preserve limb function.

Observation:

The patient presented with an open pelvic fracture, gross contamination, and partial soft tissue avulsion.
Associated injuries included transection of the femoral artery and vein, femoral nerve, and sciatic nerve stretch injury.

Findings:

Initial treatment with above-knee amputation was not feasible due to extensive soft tissue loss.
A successful left hemipelvectomy was performed, followed by wound closure.
The patient required substantial blood transfusion (14 units) to manage hemorrhage.

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Implications:

Hemipelvectomy can be a life-saving procedure in cases of massive pelvic trauma where limb salvage is impossible.
Successful rehabilitation and ambulation with a prosthesis are achievable outcomes following extensive pelvic resection.
This case highlights the importance of tailored surgical strategies in managing complex pelvic fractures.