• Felix Walcher, Thomas Lustenberger, Thomas Schmandra, Christian Byhahn, Helmut Laurer, Tobias Bingold, Uwe Schweigkofler, Benedikt Winckler, Gerhard Walter, and Ingo Marzi.
• Department of Trauma, Hand and Reconstructive Surgery, Johann Wolfgang Goethe-University, Frankfurt/Main, Germany. walcher@trauma.uni-frankfurt.de
• Injury. 2013 Sep 1;44(9):1252-6.

AbstractTraumatic hemipelvectomy is a severe, however rare injury associated with high lethality. Up to now, immediate surgical completion of the amputation has been recommended as a lifesaving therapy. We present a case of near complete hemipelvectomy with open fracture of the ileosacral joint, wide open symphysis and severe soft tissue trauma including a decollement around the pelvis. Successful complete replantation was performed by primary internal stabilisation and revascularisation using vascular grafts. In the further hospital course, numerous revisions of the soft tissue injury and reconstructive surgery were needed. Thirty months later, the patient's condition is physically and psychologically stable and he is able to walk using crutches. The key point of successful management was skilled emergency damage control surgery followed by dedicated surgical care to avoid septic complications.Copyright © 2012 Elsevier Ltd. All rights reserved.

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