A patient with an electrical burn treated by modified bilateral hemipelvectomy and disarticulation of the right arm.
A 23-year-old Hispanic worker sustained an electrical injury to 45% of his body when a crane hit a power line. Amputations of both legs, with bilateral partial hemipelvectomies, were required. A disarticulation of the right arm at the shoulder was also preformed. Resection of necrotic bowel, debridement of 95% of the abdominal wall, and resection of the genitalia was eventually required, with later reconstruction of the abdominal wall. After wound healing was complete, the patient was fitted with Jobst garments. A customized bucket prosthesis with a temperature control, to allow sitting upright, was provided. An electric wheel chair and a myoelectronic prosthetic arm were supplied. Rehabilitation was begun early.
Still
J M
JM
Joseph M. Still Burn Center, Doctors Hospital, Augusta, Georgia, USA.
Law
E
E
Friedman
B
B
Gates
C E
CE
D000009:Abdominal Muscles / Q000601:surgery; D000062:Accidents, Occupational; D000328:Adult; D001132:Arm / Q000601:surgery*; D002058:Burns, Electric / Q000534:rehabilitation* / Q000601:surgery*; D004188:Disarticulation / Q000379:methods*; D006428:Hemipelvectomy / Q000379:methods*; D006801:Humans; D008297:Male; D019736:Prostheses and Implants