Combined treatment with vacuum sealingdrainage, TopClosure device, and Ilizarovtechnique 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 Jay Lee, Xin Tang

Research output: Contribution to journalArticlepeer-review

Abstract

Rationale: Traumatic hemipelvectomy is a rare but lethal catastrophic injury. Patientconcerns: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)
Article numbere14205
JournalMedicine (United States)
Volume98
Issue number4
DOIs
StatePublished - 2019

Keywords

  • Ilizarov technique
  • Large-size soft tissue defects
  • Rnpt
  • Topclosure device
  • Traumatic hemipelvectomy

ASJC Scopus subject areas

  • Medicine(all)

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