title: Internal hemipelvectomy as a treatment for end-stage pressure sores.
abstract: Internal hemipelvectomy was used to treat recalcitrant pressure sores in the absence of flap options following leg fillet. The bony hemipelvis was resected in the subperiosteal plane, resulting in the removal of the iliac wing, ischium, and pubic rami. This procedure creates enough mobile soft tissue to allow even large ulcer defects to be closed primarily. We have used the technique successfully in 5 patients; follow-up ranged from 4 to 30 months. Internal hemipelvectomy is a treatment option for end-stage pressure ulcers in lieu of hemicorporectomy.
authors.affiliation: Division of Plastic and Reconstructive Surgery, University of Wisconsin Medical School--Madison.
authors.forename: W D
authors.initials: WD
authors.lastname: Strinden
authors.forename: R C
authors.initials: RC
authors.lastname: Mixter
authors.forename: D G
authors.initials: DG
authors.lastname: Dibbell
mesh_terms: D000293:Adolescent; D000328:Adult; D000671:Amputation, Surgical / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006428:Hemipelvectomy / Q000379:methods*; D006801:Humans; D008297:Male; D010264:Paraplegia / Q000150:complications; D003668:Pressure Ulcer / Q000209:etiology / Q000601:surgery*