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