Abstract:Report and progress of 2 traumatic hemipelvectomies in motor-cyclists with excluding extraperitoneal tearing of half of the pelvis and disrupture of the pelvic vessels for 18 years. The purpose of this case study was the analysis of the quality of life, the clinical complications and the reintegration of the 2 patients 18 years after traumatic hemipelvectomy.
“…Only a multidisciplinary support by psychologically instructed staff and a psychiatrist may suppress the depressive mood and prolong the euphoric phases [13,17]. Information concerning a long-term social reintegration is available in the literature [38]. Successful courses exist for survivors of a traumatic hemipelvectomy [9,12,13,16,18,23,24].…”
Section: Discussionmentioning
confidence: 99%
“…Successful courses exist for survivors of a traumatic hemipelvectomy [9,12,13,16,18,23,24]. On the other hand, there are patients with severe psychological and social problems, drug or alcohol dependency, and isolation [10,15,38].…”
“…Only a multidisciplinary support by psychologically instructed staff and a psychiatrist may suppress the depressive mood and prolong the euphoric phases [13,17]. Information concerning a long-term social reintegration is available in the literature [38]. Successful courses exist for survivors of a traumatic hemipelvectomy [9,12,13,16,18,23,24].…”
Section: Discussionmentioning
confidence: 99%
“…Successful courses exist for survivors of a traumatic hemipelvectomy [9,12,13,16,18,23,24]. On the other hand, there are patients with severe psychological and social problems, drug or alcohol dependency, and isolation [10,15,38].…”
“…In addition, social services and intensive rehabilitation programs must be involved to ensure social security, early reintegration into the workplace, or timely intervention with retraining measures. If possible, family and friends should be involved at a very early stage [ 61 , 62 ]. The available data show that patients 2 and 3 suffered similar post-traumatic functional impairments, but assessed and managed them differently.…”
Background
Traumatic hemipelvectomies are rare and serious injuries. The surgical management was described in several case studies, with primary amputation often performed to save the patient's life.
Methods
We report of two survivors with complete traumatic hemipelvectomy resulting in ischemia and paralyzed lower extremity. Due to modern emergency medicine and reconstructive surgery, limb salvage could be attained. Long-term outcome with quality of life was assessed one year after the initial accident.
Results and conclusions
The patients were able to mobilize themselves and live an independent life. The extremities remained without function and sensation. Urinary continence and sexual function were present and the colostomy could be relocated in both patients. Both patients support limb salvage, even having difficulties and follow-up treatments. Concomitant cases are required to consolidate the findings.
Level of evidence
IV.
“…The authors stress the relevance of psychological support and suggest that their patient would be less likely to suffer body image conflicts because of his extremely young age. Needless to say, surgeons must bear in mind these rehabilitative concerns, especially when constructing a vesical stoma or a colostomy, so that they do not interfere with the limb prosthesis [15,16].…”
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