• Hemipelvectomy as an exceptional treatment for problematic pelvic fractures

A second case involved a toy breed dog presented with chronic constipation over a year after conservative (non-surgical) management of a pelvic fracture elsewhere. The fracture had healed with a mass of new bone called a callus. This and the poor alignment of the fragments had led to a narrowing of the pelvis dimensions through which the dog was struggling to pass faeces. The faeces was then accumulating “upstream” in the large bowel, and causing significant distress.

Initially we re-cut the pelvis with a bone-saw and used a plate to fix it into a position with improved pelvic dimensions. The patient wasn’t amenable and although initial results were encouraging, constipation persisted in the months following surgery. So we removed one side of the pelvis as part of a hind limb amputation and the patient was then able to pass faeces much more easily, and was still able to get around just fine on three legs.

21st October 2013