Combined treatment with vacuum sealing drainage, TopClosure device, and Ilizarov technique for traumatic hemipelvectomy: A rare case report of successful repairing of large-size soft tissue defects

Jin Li, Jie Bao Shi, Pan Hong, Yu Shang Wang, Hao Ren Ze, Rushyuan Lee, Xin Tang

Research output: Contribution to journalArticle

Abstract

RATIONALE: Traumatic hemipelvectomy is a rare but lethal catastrophic injury. PATIENT CONCERNS: A case of a very young child with open fracture of left sacroiliac joint dislocation and pubic symphysis diastasis, suffered from a severe large-size soft tissue defects. DIAGNOSIS: Traumatic hemipelvectomy. INTERVENTIONS: Complete amputation was performed and three kinds of surgical techniques including regulated negative pressure-assisted wound therapy (RNPT), TopClosure device, and Ilizarov technique were jointly utilized to secure closure in the further revisions of the soft tissue injury and reconstruct reconstructive surgery. OUTCOMES: Six months after hospital discharge, the patient was able to ambulate with a single limb and a prosthesis and she is independent in many activities of daily living currently. LESSONS: We report this case to share experience with other clinicians in the management of this deadly extensive defects after traumatic hemipelvectomy in patients.

Original languageEnglish (US)
Pages (from-to)e14205
JournalMedicine
Volume98
Issue number4
DOIs
StatePublished - Jan 1 2019

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Hemipelvectomy
Ilizarov Technique
Vacuum
Drainage
Equipment and Supplies
Pubic Symphysis Diastasis
Reconstructive Surgical Procedures
Artificial Limbs
Negative-Pressure Wound Therapy
Sacroiliac Joint
Soft Tissue Injuries
Open Fractures
Patient Discharge
Activities of Daily Living
Joint Dislocations
Amputation
Therapeutics
Wounds and Injuries

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Combined treatment with vacuum sealing drainage, TopClosure device, and Ilizarov technique for traumatic hemipelvectomy : A rare case report of successful repairing of large-size soft tissue defects. / Li, Jin; Shi, Jie Bao; Hong, Pan; Wang, Yu Shang; Ze, Hao Ren; Lee, Rushyuan; Tang, Xin.

In: Medicine, Vol. 98, No. 4, 01.01.2019, p. e14205.

Research output: Contribution to journalArticle

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abstract = "RATIONALE: Traumatic hemipelvectomy is a rare but lethal catastrophic injury. PATIENT CONCERNS: A case of a very young child with open fracture of left sacroiliac joint dislocation and pubic symphysis diastasis, suffered from a severe large-size soft tissue defects. DIAGNOSIS: Traumatic hemipelvectomy. INTERVENTIONS: Complete amputation was performed and three kinds of surgical techniques including regulated negative pressure-assisted wound therapy (RNPT), TopClosure device, and Ilizarov technique were jointly utilized to secure closure in the further revisions of the soft tissue injury and reconstruct reconstructive surgery. OUTCOMES: Six months after hospital discharge, the patient was able to ambulate with a single limb and a prosthesis and she is independent in many activities of daily living currently. LESSONS: We report this case to share experience with other clinicians in the management of this deadly extensive defects after traumatic hemipelvectomy in patients.",
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