External hemipelvectomy is a radical procedure traditionally reserved for advanced malignancy, with its use in trauma being exceedingly rare. We report a 15-year-old female with severe pelvic trauma complicated by a missed external iliac artery occlusion following internal iliac artery embolization, resulting in irreversible limb ischemia and progressive soft-tissue necrosis. Despite fasciotomy, above-knee amputation, and repeated debridement, the infection advanced proximally with recurrent sepsis, ultimately necessitating a life-saving external hemipelvectomy. Reconstruction was achieved using a deep inferior epigastric artery perforator flap, followed by staged wound management and rehabilitation, leading to complete wound healing. At 28 months of follow-up, the patient was able to ambulate independently with a customized hemipelvic prosthesis. This case highlights a critical diagnostic pitfall in pelvic trauma and demonstrates that timely recognition, multidisciplinary management, and advanced reconstructive strategies can achieve meaningful functional recovery even after radical limb-sacrificing procedures.
Background Perioperative blood loss and early recovery are major concerns when elderly patients undergo total hip arthroplasty (THA) for femoral neck fractures. The minimally invasive transpiriformis approach (MIS-TPA), which preserves posterior soft-tissue structures, has recent…
Objectives To evaluate the outcomes of two open ventral hernia reconstruction strategies selected according to defect complexity, with particular emphasis on postoperative morbidity and recurrence-related reoperations. Methods This retrospective cohort study included 266 patients…
Objective This case report describes the surgical management of spinal dural arteriovenous fistulas (SDAVFs) using micro-tubular retractors under CT guidance, along with a review and analysis of the relevant literature. Methods The surgical approach involved the use of micro-tubu…
Background The present study assessed the safety and feasibility of uniport robot-assisted thoracic surgery (RATS) during a structured transition from conventional multiport to uniport RATS. Methods Patients undergoing RATS pulmonary resection for non–small cell lung cancer betwe…
Background Giant or recurrent neurofibromas associated with neurofibromatosis type 1 (NF1) may mimic vascular tumors and create large reconstructive defects, particularly in mobile regions. We report a recurrent posterior neck and upper-back neurofibroma with failure of primary g…
Objective To investigate the clinical efficacy of a modified soft brace incorporating a Silver Sulfadiazine (SSD) oil-based dressing in improving wound healing and home care quality following hand scar contracture release surgery in patients with RDEB. Methods Thirty-five RDEB pa…