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Traumatic hemipelvectomy: a catastrophic injury.

S L Beal1, F W Blaisdell

  • 1Department of Surgery, University of California, Davis.

The Journal of Trauma
|October 1, 1989
PubMed
Summary

Traumatic hemipelvectomy is a rare, devastating injury causing extensive tissue damage. Survival is uncommon, highlighting the critical need for improved surgical management strategies for this severe trauma.

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Area of Science:

  • Trauma Surgery
  • Orthopedic Surgery
  • Emergency Medicine

Background:

  • Traumatic hemipelvectomy is a severe injury caused by blunt shearing forces, leading to extensive soft tissue, bone, and skin destruction.
  • This catastrophic injury presents significant challenges for trauma surgeons due to its complexity and rarity.

Observation:

  • Patients surviving traumatic hemipelvectomy are exceptionally rare, with only 36 cases reported this century.
  • A review of literature was conducted to compile collective experiences and aid in managing this injury.
  • During a 3-year period at UC Davis, 8 major trauma patients sustained traumatic hemipelvectomy, with 3 survivors.

Findings:

  • The study reviews global literature to consolidate experiences in managing traumatic hemipelvectomy.
  • Analysis of a local trauma registry identified a small cohort of patients with this injury.

Implications:

  • Findings aim to assist surgeons in the complex management of traumatic hemipelvectomy.
  • Understanding collective experiences can improve outcomes for the few patients who survive this devastating injury.

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