{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T12:17:56Z","timestamp":1767183476378,"version":"3.37.3"},"reference-count":9,"publisher":"Springer Science and Business Media LLC","issue":"8","license":[{"start":{"date-parts":[[2024,7,11]],"date-time":"2024-07-11T00:00:00Z","timestamp":1720656000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,7,11]],"date-time":"2024-07-11T00:00:00Z","timestamp":1720656000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Universit\u00e4tsklinikum Augsburg"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Unfallchirurgie"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Die Herausforderung in der Behandlung der traumatischen Hemipelvektomie ist die Dynamik der komplexen und lebensbedrohlichen Verletzungsfolgen. Dies umfasst zum einen den Haut- und Weichteildefekt, die oss\u00e4ren, nervalen und vasalen Verletzungen, zum anderen die konsekutiv h\u00e4mostaseologische Entgleisung und Organdysfunktion im Rahmen des Schockgeschehens. Die Behandlung an sich fordert schnelle und zielgerichtete Entscheidungen, um das Leben des Patienten zu erhalten. Im vorliegenden Fall wurde ein 34-j\u00e4hriger Landwirt zwischen einem Radlader und einem stehenden Anh\u00e4nger eingeklemmt. Bei seiner Ankunft im Krankenhaus befand sich der Patient in einem h\u00e4morrhagischen Schock mit begleitender akuter traumatischer Koagulopathie und einem III-gradig offenen Beckentrauma mit einer vollst\u00e4ndigen Isch\u00e4mie des linken Beins sowie auch einer Blasenverletzung. Nach notfallm\u00e4\u00dfiger operativer Versorgung und zweizeitiger Stabilisierung des Beckens kam es im weiteren Verlauf zu einer Verschlechterung des Zustandes hin zum Multiorganversagen, wodurch die linksseitige Hemipelvektomie als lebensrettende Ma\u00dfnahme notwendig wurde. Anschlie\u00dfend waren bei Wundinfektion und bestehenden Haut- und Weichteilschaden mehrere Revisionseingriffe und plastische Rekonstruktionen notwendig. Aufgrund der im Alltag seltenen Konfrontation mit dieser Art von Verletzung und eines nichtallgemeing\u00fcltigen Therapiealgorithmus soll folgender Fallbericht zum besseren Verst\u00e4ndnis der Behandlung sowie auch zur Darstellung der in sich zusammenh\u00e4ngenden Wechselwirkungen der einzelnen betroffenen Organsystemen dienen.<\/jats:p>","DOI":"10.1007\/s00113-024-01455-9","type":"journal-article","created":{"date-parts":[[2024,7,11]],"date-time":"2024-07-11T12:12:24Z","timestamp":1720699944000},"page":"607-612","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Traumatische Hemipelvektomie","Traumatic hemipelvectomy"],"prefix":"10.1007","volume":"127","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5765-3318","authenticated-orcid":false,"given":"F.","family":"Pfalzgraf","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Ecker","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Y.","family":"Go\u00dflau","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E.","family":"Mayr","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,7,11]]},"reference":[{"issue":"6","key":"1455_CR1","doi-asserted-by":"publisher","first-page":"830","DOI":"10.1016\/j.amjsurg.2005.05.050","volume":"190","author":"CJ Dente","year":"2005","unstructured":"Dente\u00a0CJ, Feliciano\u00a0DV, Rozycki\u00a0GS, Wyrzykowski\u00a0AD, Nicholas\u00a0JM, Salomone\u00a0JP, Ingram\u00a0WL (2005) The outcome of open pelvic fractures in the modern era. 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F\u00fcr die aufgef\u00fchrten Studien gelten die jeweils dort angegebenen ethischen Richtlinien. F\u00fcr Bildmaterial oder anderweitige Angaben innerhalb des Manuskripts, \u00fcber die Patient\/-innen zu identifizieren sind, liegt von ihnen und\/oder ihren gesetzlichen Vertretern\/Vertreterinnen eine schriftliche Einwilligung vor.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}