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.
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 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…
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 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…