+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

First successful complete replantation of a traumatic hemipelvectomy: follow-up after 30 months

First successful complete replantation of a traumatic hemipelvectomy: follow-up after 30 months

Injury 44(9): 1252-1256

Traumatic hemipelvectomy is a severe, however rare injury associated with high lethality. Up to now, immediate surgical completion of the amputation has been recommended as a lifesaving therapy. We present a case of near complete hemipelvectomy with open fracture of the ileosacral joint, wide open symphysis and severe soft tissue trauma including a decollement around the pelvis. Successful complete replantation was performed by primary internal stabilisation and revascularisation using vascular grafts. In the further hospital course, numerous revisions of the soft tissue injury and reconstructive surgery were needed. Thirty months later, the patient's condition is physically and psychologically stable and he is able to walk using crutches. The key point of successful management was skilled emergency damage control surgery followed by dedicated surgical care to avoid septic complications.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 036639994

Download citation: RISBibTeXText

PMID: 23122999

DOI: 10.1016/j.injury.2012.09.025

Related references

Complete traumatic hemipelvectomy: Report of a case after 19 years of follow-up. Injury 41(8): 874-882, 2011

Complete transurethral bladder eversion 3 months after hemipelvectomy. International Urogynecology Journal 21(2): 255-257, 2010

Traumatic hemipelvectomy: a report of successful reimplantation. Injury 37(10): 1015-1018, 2006

Traumatic complete hemipelvectomy treated with a free fillet flap. Journal of Trauma 65(6): 1551-1553, 2008

Split down the middle: a functional survivor of complete traumatic hemipelvectomy. Journal of Trauma and Acute Care Surgery 72(4): E117, 2012

Eyelid replantation eight months after traumatic avulsion. Ophthalmic Plastic and Reconstructive Surgery 20(5): 390-392, 2004

Analysis of surgical and oncological outcome in internal and external hemipelvectomy in 34 patients above the age of 65 years at a mean follow-up of 56 months. Bmc Musculoskeletal Disorders 16: 33, 2015

Partial and complete internal hemipelvectomy: complications and long-term follow-up. Journal of the American College of Surgeons 181(1): 43-48, 1995

Physiologic and anatomic studies thirty-five months after successful replantation of the lung. Journal of Thoracic and Cardiovascular Surgery 39: 380-384, 1960

Successful replantation of a complete ten-digit amputation. Journal of Trauma 67(2): E44-E47, 2009

Successful replantation in 10-digit complete amputations. Plastic and Reconstructive Surgery 98(2): 348-353, 1996

Successful replantation in ten-digit complete amputations. Journal of Reconstructive Microsurgery 4(2): 123-129, 1988

Successful replantation of a leg--a 7-year follow-up. Injury 16(2): 118-122, 1984

Successful auricle replantation via microvascular anastomosis 10 h after complete avulsion. Acta Oto-Laryngologica 124(5): 645-648, 2004

Successful replantation in ten-digit complete amputation: a case report. Zhonghua Wai Ke Za Zhi 33(5): 283-284, 1995