Rationale:
Traumatic hemipelvectomy is a rare but lethal catastrophic injury.
Patient concerns:
A case of a very young child with open fracture of left sacroiliac joint dislocation and pubic symphysis diastasis, suffered from a severe large-size soft tissue defects.
Diagnosis:
Traumatic hemipelvectomy.
Interventions:
Complete amputation was performed and three kinds of surgical techniques including regulated negative pressure-assisted wound therapy (RNPT), TopClosure device, and Ilizarov technique were jointly utilized to secure closure in the further revisions of the soft tissue injury and reconstruct reconstructive surgery.
Outcomes:
Six months after hospital discharge, the patient was able to ambulate with a single limb and a prosthesis and she is independent in many activities of daily living currently.
Lessons:
We report this case to share experience with other clinicians in the management of this deadly extensive defects after traumatic hemipelvectomy in patients.