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[Traumatic hemipelvectomy--report of 2 cases].

W Sattel, P Stanković

    Unfallchirurgie
    |August 1, 1984
    PubMed
    Summary

    Traumatic hemipelvectomies in motorcyclists can occur from high-velocity impacts, causing severe pelvic and vascular injuries. Prompt surgical intervention is crucial for managing these complex cases and improving patient outcomes.

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    Area of Science:

    • Orthopedic Surgery
    • Trauma Surgery
    • Reconstructive Surgery

    Background:

    • Motorcyclist trauma frequently involves high-energy pelvic injuries.
    • Traumatic hemipelvectomy is a rare but devastating injury pattern.

    Observation:

    • Two cases of traumatic hemipelvectomy in motorcyclists are reported.
    • Injuries involved pelvic disruption and major vessel tearing, but excluded intra-abdominal and renal damage.

    Findings:

    • One patient experienced complete anal incontinence due to perineal muscle disruption.
    • The other patient did not develop permanent anal insufficiency.
    • Vascular repair and pelvic reconstruction were critical management components.

    Implications:

    • High-velocity impacts in motorcyclists necessitate careful assessment for pelvic ring disruptions.
    • Management strategies should address both skeletal instability and vascular compromise.
    • Understanding the mechanism of injury aids in predicting potential functional deficits, such as anal incontinence.

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