Hemipelvectomy (Hindquarter Amputation)

2014 ◽  
pp. 361-368
Author(s):  
Constantine P. Karakousis
Keyword(s):  
Hindquarter Amputation

scholarly journals Damage control hip disarticulation: two-stage operation with index creation of a large medial flap for the septic hip

2020 ◽  
Vol 5 (1) ◽  
pp. e000502
Author(s):  
Christina Colosimo ◽  
Charles Fredericks ◽  
James R Yon ◽  
John C Kubasiak ◽  
Faran Bokhari ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Hospital Discharge ◽  
High Mortality ◽  
Wound Care ◽  
Damage Control ◽  
Mortality Rates ◽  
Consecutive Series ◽  
Postoperative Wound ◽  
Hindquarter Amputation

BackgroundAlthough rarely performed, hip disarticulation (HD) is usually used for the patient with a non-viable leg who is also in extremis. HD was first used for trauma and infection; however, the technique was perfected during the age of hindquarter amputation for osteosarcomas. The operation performed by most surgeons today is still based on the oncological principles of high vessel control and ligation. When this approach has been used in the overwhelmingly infected or mangled extremity, it has resulted in high mortality rates. During the last 20 years, the concept of damage control operation has been embraced by emergency surgeons in all fields. We sought to extrapolate this concept and to apply it to the non-viable lower extremity.MethodsWe describe a new concept of damage control HD, review the technique and discuss our consecutive series of nine patients who underwent the procedure for trauma or necrotizing infection without flap dehiscence or mortality.ResultsAll patients survived to hospital discharge. At time of discharge or at follow-up, six of the nine patients were able to transfer to a wheelchair.DiscussionProper disarticulations for infection need to address these two operative and postoperative issues: damage control debridement with creation of sufficient flap size and thorough postoperative wound care.Level IV

Hindquarter amputation

2013 ◽  
Vol 95-B (1) ◽  
pp. 127-131 ◽  
Author(s):  
R. J. Grimer ◽  
C. R. Chandrasekar ◽  
S. R. Carter ◽  
A. Abudu ◽  
R. M. Tillman ◽  
...  
Keyword(s):  
Hindquarter Amputation

Hindquarter Amputation

1953 ◽  
Vol 249 (24) ◽  
pp. 963-969 ◽  
Author(s):  
Grantley W. Taylor ◽  
William P. Rogers
Keyword(s):  
Hindquarter Amputation

Wound Cover in a Hindquarter Amputation With a Free Flap From the Amputated Limb

1994 ◽  
Vol &NA; (304) ◽  
pp. 248???251 ◽  
Author(s):  
T. Sara ◽  
A. K. Kour ◽  
S. Das De ◽  
A. Rauff ◽  
R. W. H. Pho
Keyword(s):  
Free Flap ◽  
Hindquarter Amputation

Hindquarter amputation for lymphangiomatosis

1996 ◽  
Vol 22 (1) ◽  
pp. 116-117 ◽  
Author(s):  
M.P. Jenkins ◽  
I.J. Laidlaw ◽  
J. Meirion Thomas
Keyword(s):  
Hindquarter Amputation
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