TY - JOUR
T1 - Combined treatment with vacuum sealingdrainage, TopClosure device, and Ilizarovtechnique for traumatic hemipelvectomy
T2 - A rare case report of successful repairing of large-size soft tissue defects
AU - Li, Jin
AU - Shi, Jie Bao
AU - Hong, Pan
AU - Wang, Yu Shang
AU - Ze, Hao Ren
AU - Lee, Rushyuan Jay
AU - Tang, Xin
N1 - Funding Information:
Editor: N/A. JL and JBS contributed equally to this work and should be considered co-first authors. Financial biases exist for any author: None. Funding: National Natural Science Foundation of China (81470100). The patient has provided informed consent for publication of the case. The authors report no conflicts of interest. aDepartment of Orthopaedic Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China, bDepartment of Orthopaedic Surgery, Bloomberg Children’s Hospital, Johns Hopkins Hospital, Baltimore, MD, United States. ∗Correspondence: Xin Tang, Wuhan Union Hospital, Wuhan, Hubei 430022, China (e-mail: [email protected]). Copyright © 2019 the Author(s). Published by Wolters Kluwer Health, Inc. This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. Medicine (2019) 98:4(e14205) Received: 25 September 2018 / Received in final form: 18 December 2018 / Accepted: 25 December 2018 http://dx.doi.org/10.1097/MD.0000000000014205
Publisher Copyright:
Copyright © 2019 the Author(s).
PY - 2019
Y1 - 2019
N2 - 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.
AB - 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.
KW - Ilizarov technique
KW - Large-size soft tissue defects
KW - Rnpt
KW - Topclosure device
KW - Traumatic hemipelvectomy
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U2 - 10.1097/MD.0000000000014205
DO - 10.1097/MD.0000000000014205
M3 - Article
C2 - 30681595
AN - SCOPUS:85060521864
SN - 0025-7974
VL - 98
JO - Medicine (United States)
JF - Medicine (United States)
IS - 4
M1 - e14205
ER -