ReviewArchives of orthopaedic and trauma surgery2026
Staged management of a compound combined pelvi-acetabular injury with perineal degloving in a young female: a case report and literature review.
Review in Archives of orthopaedic and trauma surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
We present the case of a 30-year-old woman, the patient who sustained a compound combined pelvi-acetabular fracture with extensive perineal internal degloving after high-energy trauma. Computed tomography revealed an unstable pelvic ring injury (Tile type C1; anteroposterior compression type III) with right transverse acetabular fracture. The occurrence of extensive internal degloving was confirmed intraoperatively. The injury was treated using a graduated, principle-based approach incorporating early soft-tissue debridement, dead-space management and temporary pelvic stabilization, infection control, and delayed definitive internal fixation. An intercurrent pin-site infection was treated successfully without progression to deep infection. The patient demonstrated progressive radiological union at 4 months with a Harris Hip Score (HHS) of 80 and a Majeed pelvic score of 55. At one-year follow-up, complete union occurred and functional recovery was achieved, characterized by HHS of 90 and a Majeed score of 70. In this case, infection-guided staging as well as extremely aggressive soft tissue treatment may allow for safe delayed fixation even where pelvi-acetabular trauma has been compromised.
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