创伤性双侧部分半骨盆切除术后骨盆重建：一例报告
Reconstruction of the pelvis after traumatically induced bilateral partial hemipelvectomy: a case report.
作者信息
Kamitomo Ayako, Hayashi Minoru, Tokunaka Ryohei, Yoshida Yuki, Tatsuta Sayo, Sasaki Yoshie
机构信息
Department of Plastic, Reconstructive and Aesthetic Surgery, Japan Red Cross Maebashi Hospital, 389-1 Asakura-cho, Maebashi-shi, Gunma, 3710811, Japan.
出版信息
J Med Case Rep. 2019 Dec 4;13(1):355. doi: 10.1186/s13256-019-2283-5.
BACKGROUND
Traumatic hemipelvectomy is a catastrophic fracture of the pelvis as a result of high-energy trauma, such as in a car accident. There have been few case reports of traumatic hemipelvectomy because many of these patients die before they are transferred to a hospital. However, an increasing number of patients are being saved and admitted to hospital due to improvements in resuscitation and the emergency response system. Accordingly, there has been a growing body of reports on the management and reconstruction of traumatic hemipelvectomy.
CASE PRESENTATION
A healthy 20-year-old Japanese man was trapped beneath a 3-ton steel frame while working on a crane. We describe here a very challenging case of traumatically induced bilateral partial hemipelvectomy with successful reconstruction of our patient's pelvis using a unilateral anterolateral thigh flap.
CONCLUSION
To the best of our knowledge, there have been few reports of bilateral hemipelvectomy and our case is the first to be successfully treated with a unilateral anterolateral thigh flap.
背景
创伤性半侧骨盆切除术是由高能量创伤（如车祸）导致的骨盆灾难性骨折。由于许多此类患者在转送至医院前死亡，创伤性半侧骨盆切除术的病例报告很少。然而，由于复苏和应急反应系统的改善，越来越多的患者得以获救并入院治疗。因此，关于创伤性半侧骨盆切除术的治疗和重建的报道越来越多。
病例介绍
一名健康的20岁日本男性在起重机作业时被困在一个3吨重的钢架下。我们在此描述一例极具挑战性的创伤性双侧部分半侧骨盆切除术病例，该患者使用单侧股前外侧皮瓣成功重建了骨盆。
结论
据我们所知，双侧半侧骨盆切除术的报道很少，我们的病例是首例使用单侧股前外侧皮瓣成功治疗的病例。
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