Case Report
A 46-year-old man was involved in a high-energy collision resulting in a left traumatic hemipelvectomy with contralateral pelvic fractures and regional soft-tissue injuries. He had a pulseless left lower extremity and multiple life-threatening injuries. Emergent hemipelvectomy was performed, with intraoperative findings confirming external iliac artery transection. Remaining orthopaedic injuries were repaired sequentially, including percutaneous fixation of contralateral acetabular fracture./r/nTraumatic hemipelvectomy requires rapid intervention. Early amputation is necessary for adequate resuscitation. Percutaneous fixation of fractures in the remaining hemipelvis can optimize soft-tissue preservation with favorable functional outcomes.
