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Patient-Reported Outcomes After Traumatic Hemipelvectomy With Contralateral Acetabular Fracture: A Case Report.

Robert W Rutz1, Mihir S Patel, Matthew T Yeager

  • 1Department of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, Alabama.

JBJS Case Connector
|August 8, 2025
PubMed
Summary

Rapid intervention for traumatic hemipelvectomy is crucial. Early amputation aids resuscitation, while percutaneous fixation of the remaining pelvis can improve outcomes.

Keywords:
fractureorthopaedicspatient-reported outcomestraumatic hemipelvectomy

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Area of Science:

  • Trauma Surgery
  • Orthopaedic Surgery
  • Vascular Surgery

Background:

  • High-energy collisions can cause severe pelvic injuries, including traumatic hemipelvectomy.
  • Associated injuries often include vascular compromise and contralateral pelvic fractures.

Purpose of the Study:

  • To describe the management of a complex traumatic hemipelvectomy case.
  • To highlight the importance of timely surgical intervention and fixation techniques.

Main Methods:

  • Case report of a 46-year-old male with a left traumatic hemipelvectomy and contralateral pelvic fractures.
  • Management involved emergent hemipelvectomy, repair of external iliac artery transection, and percutaneous fixation of acetabular fracture.

Main Results:

  • Successful emergent hemipelvectomy and vascular repair were performed.
  • Contralateral acetabular fracture was stabilized with percutaneous fixation.

Conclusions:

  • Traumatic hemipelvectomy necessitates prompt surgical intervention and resuscitation.
  • Early amputation and subsequent percutaneous fixation can lead to favorable functional outcomes and soft-tissue preservation.