{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T16:58:56Z","timestamp":1790787536262,"version":"4.1.0"},"reference-count":21,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 30-year-old woman sustained a complex open pelvic ring injury with urogenital and rectal injuries and a severe Morel-Lavall\u00e9e lesion after getting stuck between a train platform and an arriving train. Orthopaedic trauma management included extensive debridements, temporary internal and external fixation, staged plate osteosynthesis, and negative-pressure wound therapy. Progressive soft-tissue necrosis due to mucormycosis necessitated a hemipelvectomy. At the 1-year follow-up, the patient had returned to independent living.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Complex open peripelvic injuries, complicated by mucormycosis infection and subsequent hemipelvectomy, have a high risk of mortality. We outline multidisciplinary surgical and antimicrobial strategies potentially effective in similar scenarios.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.26.00159","type":"journal-article","created":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T18:01:33Z","timestamp":1783620093000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Open Pelvic Ring Injury with Extended Morel-Lavall\u00e9e Lesion Complicated by Fungal Infection Necessitating Hemipelvectomy"],"prefix":"10.2106","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8224-2414","authenticated-orcid":false,"given":"Vera","family":"Jaecker","sequence":"first","affiliation":[{"name":"Charit\u00e9\u2014Universit\u00e4tsmedizin Berlin, Corporate Member of Freie Universit\u00e4t Berlin and Humboldt-Universit\u00e4t zu Berlin, Center for Musculoskeletal Surgery, Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4220-2797","authenticated-orcid":false,"given":"Sven","family":"M\u00e4rdian","sequence":"additional","affiliation":[{"name":"Department of Trauma, Hand and Reconstructive Surgery, Rostock University Medical Center, Rostock, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-8127-2304","authenticated-orcid":false,"given":"Julius","family":"Kr\u00fcger","sequence":"additional","affiliation":[{"name":"Charit\u00e9\u2014Universit\u00e4tsmedizin Berlin, Corporate Member of Freie Universit\u00e4t Berlin and Humboldt-Universit\u00e4t zu Berlin, Center for Musculoskeletal Surgery, Berlin, Germany"},{"name":"Berlin Institute of Health at Charit\u00e9\u2014Universit\u00e4tsmedizin Berlin, Julius Wolff Institute, Berlin, Germany"},{"name":"Department of Orthopaedic Surgery, Trauma Orthopaedic Research Copenhagen Hvidovre (TORCH), Copenhagen University Hospital\u2014Amager and Hvidovre, Hvidovre, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0446-5126","authenticated-orcid":false,"given":"Wenzel","family":"Sch\u00f6ning","sequence":"additional","affiliation":[{"name":"Department of Surgery, Charit\u00e9\u2014Universit\u00e4tsmedizin Berlin, Corporate Member of Freie Universit\u00e4t Berlin and Humboldt-Universit\u00e4t zu Berlin, Campus Charit\u00e9 Mitte and Campus Virchow-Klinikum, Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5875-8250","authenticated-orcid":false,"given":"Philipp","family":"Pickerodt","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Intensive Care Medicine, Charit\u00e9\u2014Universit\u00e4tsmedizin Berlin, Corporate Member of Freie Universit\u00e4t Berlin and Humboldt-Universit\u00e4t zu Berlin, Campus Charit\u00e9 Mitte and Campus Virchow-Klinikum, Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6913-9754","authenticated-orcid":false,"given":"Martina","family":"Ga\u00dfner","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Intensive Care Medicine, Charit\u00e9\u2014Universit\u00e4tsmedizin Berlin, Corporate Member of Freie Universit\u00e4t Berlin and Humboldt-Universit\u00e4t zu Berlin, Campus Charit\u00e9 Mitte and Campus Virchow-Klinikum, Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6275-9747","authenticated-orcid":false,"given":"Ulrich","family":"St\u00f6ckle","sequence":"additional","affiliation":[{"name":"Charit\u00e9\u2014Universit\u00e4tsmedizin Berlin, Corporate Member of Freie Universit\u00e4t Berlin and Humboldt-Universit\u00e4t zu Berlin, Center for Musculoskeletal Surgery, Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7264-3089","authenticated-orcid":false,"given":"Marcel","family":"Niemann","sequence":"additional","affiliation":[{"name":"Charit\u00e9\u2014Universit\u00e4tsmedizin Berlin, Corporate Member of Freie Universit\u00e4t Berlin and Humboldt-Universit\u00e4t zu Berlin, Center for Musculoskeletal Surgery, Berlin, Germany"},{"name":"Berlin Institute of Health at Charit\u00e9\u2014Universit\u00e4tsmedizin Berlin, Julius Wolff Institute, Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2924-7384","authenticated-orcid":false,"given":"Tazio","family":"Maleitzke","sequence":"additional","affiliation":[{"name":"Charit\u00e9\u2014Universit\u00e4tsmedizin Berlin, Corporate Member of Freie Universit\u00e4t Berlin and Humboldt-Universit\u00e4t zu Berlin, Center for Musculoskeletal Surgery, Berlin, Germany"},{"name":"Berlin Institute of 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