Traumatic HemipelvectomyA Catastrophic Injury
作者:
SANDRA BEAL,
F. BLAISDELL,
期刊:
The Journal of Trauma: Injury, Infection, and Critical Care
(OVID Available online 1989)
卷期:
Volume 29,
issue 10
页码: 1346-1351
ISSN:0022-5282
年代: 1989
出版商: OVID
数据来源: OVID
摘要:
Traumatic hemipelvectomy is a catastrophic injury resulting from violent blunt shearing forces which cause massive skin, bone, and soft-tissue destruction. The initial extent of the injury as well as the complexity of the consequent problems is staggering. As such it constitutes one of the major challenges seen by trauma surgeons.Patients surviving traumatic hemipelvectomy are rare. We found a total of 36 cases reported in this century. The University of California at Davis General Surgery Trauma Service admitted 9,369 major trauma victims from June 1985 to May 1988. During this 3-year period eight patients sustained a traumatic hemipelvectomy, of whom three survived. Given the complexity, yet rarity, of this injury, a review of the world literature was undertaken to compile collective experiences to aid surgeons in the management of this injury.
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