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Traumatic hemipelvectomy before body image has developed
1Department of Physical Medicine and Rehabilitation, Yonsei University College of Medicine, Seoul, Korea. sanctus@nuri.net
Yonsei Medical Journal
|April 13, 1999
Summary
This case study highlights a child
Area of Science:
- Pediatric Traumatology
- Rehabilitation Medicine
- Orthopedic Surgery
Background:
- Traumatic hemipelvectomy is a rare and often fatal injury.
- Survival from such massive trauma is uncommon, particularly in pediatric cases.
Observation:
- A 28-month-old male survived severe pelvic trauma and underwent left hemipelvectomy, colostomy, cystostomy, and testicular removal.
- The patient received comprehensive rehabilitation, including prosthetic fitting and psychological support for 13 years.
Findings:
- The child achieved a good functional outcome with a prosthesis, demonstrating remarkable mobility.
- Psychological assessments revealed emotional stability and good scholastic performance at age 16.
Implications:
- Hemipelvectomy in children, despite its radical nature, can lead to unexpectedly good rehabilitation potential.
- Early intervention and long-term multidisciplinary care are crucial for optimizing functional and psychosocial outcomes in pediatric trauma survivors.
