Jansen Hendrik, Heintel Timo M, Jordan Martin, Meffert Rainer H, Frey Soenke P
Dept. of Trauma-, Hand-, Plastics- and Reconstructive Surgery, University Clinics Wuerzburg, Oberduerrbacher Str. 6, D-97080 Wuerzburg, Germany.
Dept. of Orthopaedics and Trauma Surgery, St. Josef Hospital Bochum, University Clinics Bochum, Germany.
Trauma Case Rep. 2019 Jun 21;22:100220. doi: 10.1016/j.tcr.2019.100220. eCollection 2019 Aug.
We report on a 14 months old toddler who sustained a traumatic hemipelvectomy by being crushed between a car and a stone wall. After stabilization in the resuscitation room he was treated operatively by laparotomy, osteosynthesis of the pelvic ring, reconstruction of the both external iliac vessels and the urethra and reposition of the testicles. After 66 days he was discharged into rehabilitation. Implants were removed after eight months. 20 months after the injury, the leg was plegic, initial radiological signs of femoral head necrosis showed up but the infant was able to walk with an orthesis and a walker. Up to our knowledge, this is the youngest patient described in the literature with a survived traumatic hemipelvectomy and salvaged limb.