J Trauma
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Traumatic hemipelvectomy is a devasting injury which few patients survive. A survivor of traumatic hemipelvectomy is described. Immediate and long-term management include prompt resuscitation, vascular control, urinary and fecal diversion, wound debridement, wound closure, and physical and psychologic rehabilitation.
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This report presents a patient in whom measurement of intracompartmental pressures objectively supported the need for fasciotomy. Method of measurement, technique of using the opposite extremity as a control, and normal tissue pressure of 14--19cm H2O are also discussed.