Professional paper
Hemipelvectomy due to explosion: possibility of occupational rehabilitation
Marijan Cesarec
; Traumatološki odjel Opće bolnice Varaždin, Privatna ordinacija medicine rada, Varaždin, Hrvatska
Slavenka Majski-Cesarec
; Traumatološki odjel Opće bolnice Varaždin, Privatna ordinacija medicine rada, Varaždin, Hrvatska
Abstract
A case of traumatic hemipelvectomy due to explosion of an antitank shell in a 21-year-old Croatian Army soldier is described. Explosion was due to inadvertent handling ot the shell in the army barracks. Literature data on persons who survived traumatic hemipelveclomy are extremely scarce; the injury is characteiized by a very high death rale (60-100%). After prompt surgical treatment the patient developed a postoperative anaerobic clostridial infection. Owing to intensive clinical and physical therapy the patient was enabled for moving around in a special wheel-chair and walking with the help of crutches and a prosthesis. He was also enrolled in a training course in computer use. Continual physical therapy and psychotherapy were essential because of a high degree of disablement. Making the patient self-sufficient, fit for work and finding him an appropriate job is considered to be the responsibility not only of the professional medical team but also of joint efforts on the pari of competent state ministries, Ministry of Defence, Ministry of Labour and Social Welfare, State Pension and Insurance Fund and Ministry of Education, Culture and Sports.
Keywords
ergonomie approach; surgical treaiment; traumatic hemipelveclomy
Hrčak ID:
144766
URI
Publication date:
18.12.1996.
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