Composite reconstruction of the pelvis in the setting of trauma is challenging. In addition to coverage and containment of the abdominal viscera, recreating a robust sitting surface is critical. However, there is a paucity of literature to guide the reconstructive surgeon. The authors present a case of traumatic hemipelvectomy, and describe their application of the ‘spare-parts’ concept to successfully reconstruct the bony pelvis and provide soft tissue coverage.
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