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Reconstruction of the pelvis after traumatically induced bilateral partial hemipelvectomy: a case report.
Journal of Medical Case Reports Pub Date : 2019-12-04 , DOI: 10.1186/s13256-019-2283-5
Ayako Kamitomo 1 , Minoru Hayashi 1 , Ryohei Tokunaka 1 , Yuki Yoshida 1 , Sayo Tatsuta 1 , Yoshie Sasaki 1
Affiliation  

BACKGROUND Traumatic hemipelvectomy is a catastrophic fracture of the pelvis as a result of high-energy trauma, such as in a car accident. There have been few case reports of traumatic hemipelvectomy because many of these patients die before they are transferred to a hospital. However, an increasing number of patients are being saved and admitted to hospital due to improvements in resuscitation and the emergency response system. Accordingly, there has been a growing body of reports on the management and reconstruction of traumatic hemipelvectomy. CASE PRESENTATION A healthy 20-year-old Japanese man was trapped beneath a 3-ton steel frame while working on a crane. We describe here a very challenging case of traumatically induced bilateral partial hemipelvectomy with successful reconstruction of our patient's pelvis using a unilateral anterolateral thigh flap. CONCLUSION To the best of our knowledge, there have been few reports of bilateral hemipelvectomy and our case is the first to be successfully treated with a unilateral anterolateral thigh flap.

中文翻译:

外伤性双侧部分半椎切除术后骨盆的重建:一例报告。

背景技术创伤性半椎骨切除术是由于高能量创伤(例如在车祸中)导致的骨盆的灾难性骨折。很少有关于创伤性半椎切除术的病例报道,因为这些患者中有许多在转移到医院之前就已经死亡。然而,由于复苏和应急系统的改进,越来越多的患者被保存下来并入院。因此,关于创伤性半骨切除术的管理和重建的报告越来越多。案例介绍一名健康的20岁日本男子在起重机上工作时被困在3吨重的钢框架下。我们在这里描述了一个非常具有挑战性的案例,该案例由创伤性双侧半截肢术成功完成了患者的重建。s骨盆使用单侧前外侧大腿瓣。结论据我们所知,双侧半髋切除术的报道很少,本例是首例单侧前外侧大腿皮瓣成功治疗的病例。
更新日期:2019-12-04
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