Hemipelvectomy after severe pelvic injury in Factor VII deficiency toddler

Shtarker Haim; Yocheved Laufer; Kogan Leonid; Glikman Daniel; Sweed Yechiel; Zonis Zeev; Grozovsky Yury; Kuperman Amir Asher; Elboim-Gabyzon Michal

doi:10.1016/j.injury.2014.11.010

Hemipelvectomy after severe pelvic injury in Factor VII deficiency toddler

Injury. 2015;46(6):1178-82. doi: 10.1016/j.injury.2014.11.010. Epub 2014 Dec 18.

Authors

Shtarker Haim¹, Yocheved Laufer², Kogan Leonid³, Glikman Daniel⁴, Sweed Yechiel⁵, Zonis Zeev⁶, Grozovsky Yury⁷, Kuperman Amir Asher⁸, Elboim-Gabyzon Michal²

Affiliations

¹ Pediatric Orthopaedics, Western Galilee Hospital, Nahariya, Israel; Faculty of Medicine in Galilee, Bar Ilan University, Safed, Israel. Electronic address: haimsh@netvision.net.il.
² Physical Therapy Department, Faculty of Social Welfare and Health Studies, University of Haifa, Haifa, Israel.
³ Department of Plastic Surgery, Western Galilee Hospital, Nahariya, Israel; Faculty of Medicine in Galilee, Bar Ilan University, Safed, Israel.
⁴ Infectious Diseases Unit, Western Galilee Hospital, Nahariya, Israel; Faculty of Medicine in Galilee, Bar Ilan University, Safed, Israel.
⁵ Department of Pediatric Surgery, Western Galilee Hospital, Nahariya, Israel; Faculty of Medicine in Galilee, Bar Ilan University, Safed, Israel.
⁶ Pediatric Intensive Care Unit, Western Galilee Hospital, Nahariya, Israel; Faculty of Medicine in Galilee, Bar Ilan University, Safed, Israel.
⁷ Vascular Surgery Unit, Western Galilee Hospital, Nahariya, Israel; Faculty of Medicine in Galilee, Bar Ilan University, Safed, Israel.
⁸ Pediatric Hematology and Coagulation Service, Western Galilee Hospital, Nahariya, Israel; Faculty of Medicine in Galilee, Bar Ilan University, Safed, Israel.

PMID: 25733368
DOI: 10.1016/j.injury.2014.11.010

Abstract

Traumatic hemipelvectomy is a lethal catastrophic injury. The reported average age of individuals surviving this trauma is 21 years old, suggesting the necessity of good physiological reserves to survive this type of injury. Dealing with this injury in children may call for special requirements throughout all the stages of diagnosis, treatment and rehabilitation. Experience in the resuscitation and subsequent treatment of individuals suffering from this traumatic condition in the paediatric population is even scarce. There are only several reported cases involving children and none of the paediatric cases suffered from comorbidities prior to their traumatic injury. The present report describes the successful management of a 16-month-old child with a medical history of a rare bleeding disorder a severe coagulation Factor VII deficiency who underwent right-sided traumatic hemipelvectomy.

Keywords: Factor VII deficiency; Hemipelvectomy; Severe pelvic injury; Toddler.

Publication types

Case Reports

MeSH terms

Accidents, Traffic
Comorbidity
Factor VII Deficiency / complications*
Factor VII Deficiency / therapy
Follow-Up Studies
Hemipelvectomy* / methods
Humans
Infant
Intensive Care Units, Pediatric
Male
Multiple Trauma / complications
Multiple Trauma / surgery*
Pelvic Bones / injuries*
Treatment Outcome