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01.12.2019 | Case report | Ausgabe 1/2019 Open Access

Journal of Medical Case Reports 1/2019

Reconstruction of the pelvis after traumatically induced bilateral partial hemipelvectomy: a case report

Journal of Medical Case Reports > Ausgabe 1/2019
Ayako Kamitomo, Minoru Hayashi, Ryohei Tokunaka, Yuki Yoshida, Sayo Tatsuta, Yoshie Sasaki
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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.


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.

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