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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.
Case:
A 46-year-old man was involved in a high-energy collision resulting in a left traumatic hemipelvectomy with contralateral pelvic fractures and regional soft-tissue injuries. He had a pulseless left lower extremity and multiple life-threatening injuries. Emergent hemipelvectomy was performed, with intraoperative findings confirming external iliac artery transection. Remaining orthopaedic injuries were repaired sequentially, including percutaneous fixation of contralateral acetabular fracture.
Conclusion:
Traumatic hemipelvectomy requires rapid intervention. Early amputation is necessary for adequate resuscitation. Percutaneous fixation of fractures in the remaining hemipelvis can optimize soft-tissue preservation with favorable functional outcomes.
